NPI 1295433753 · live from the CMS NPI Registry
Ericka Delania Nicholson
Massage Therapist in Pascagoula, MS. National Provider Identifier 1295433753, active.
NPI record
| NPI | 1295433753 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 2816 Eden St Apt 303, Pascagoula, MS 39581 |
| Practice phone | 817-727-9088 |
| Enumerated | February 22, 2023 |
| Last updated | February 22, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 5938 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.