Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHIRLEY DIANNE NICKS, CMT
Active Sole ProprietorSHIRLEY DIANNE NICKS, CMT is a Massage Therapist healthcare provider located in POPE VALLEY, California. NPI 1457595639 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · POPE VALLEY, CA
Registration Details
- NPI Number
- 1457595639
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 1, 2009 (17.280402838501 yrs)
- Last Updated
- May 1, 2009
- Sole Proprietor
- Yes
Practice Information
- Address
-
8450 BUTTS CANYON ROADPOPE VALLEY, CA, 94567Browse CA providers · Browse ZIP 94567
- Phone
- 7079659242
- Fax
- 7079659242
- Primary Specialty
-
Massage Therapist
225700000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.