Most Relevant Information
Provider Data
| NPI Number: | 1003517558 |
| Provider Name: | NICHOLAS NELSON LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MT128059 |
Most Important Dates
| Enumeration Date: | 03/13/2023 |
| Last Updated: | 03/13/2023 |
Provider Practice Location
3900 S STONEBRIDGE DR STE 804
MCKINNEY
TX
750708059
Practice Location Phone/Fax
| Phone: | 4697684040 |
| Fax: |
Provider Mailing Location
8951 MCCUTCHINS DR APT 3304
MCKINNEY
TX
750701799
Provider Mailing Phone/Fax
| Phone: | 4698815835 |
| Fax: |