Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. NANCY BRODERICK, LMT
Active Sole ProprietorMS. NANCY BRODERICK, LMT is a Massage Therapist healthcare provider located in PARK RIDGE, New Jersey. NPI 1811477995 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · PARK RIDGE, NJ
Registration Details
- NPI Number
- 1811477995
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 17, 2018 (7.9502274136071 yrs)
- Last Updated
- Aug 17, 2018
- License
-
18KT01129500 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
74 PASCACK RD STE 5PARK RIDGE, NJ, 076561941Browse NJ providers · Browse ZIP 07656
- Phone
- 2013231218
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in PARK RIDGE, NJ
| Name | Credential | NPI |
|---|---|---|
| TRIESSA DESIMONE | MPA, LMT | 1346600814 |
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.