Mrs Rebecca Sue Nickerson, MASSAGE THERAPIST is a
Massage Therapist based in Pontiac, Michigan. Mrs Rebecca Sue Nickerson is licensed to practice in Michigan (license number ) and her current practice location is
203 Luther Ave, Pontiac, Michigan. She can be reached at her office (for appointments etc.) via phone at
(248) 688-6039.
NPI number for Mrs Rebecca Sue Nickerson is 1912267568 and her current mailing address is 203 Luther Ave, Pontiac, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912267568.
Healthcare Provider's Profile
Full Name | Mrs Rebecca Sue Nickerson |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 203 Luther Ave, Pontiac, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1912267568
- Provider Enumeration Date: 05/16/2012
- Last Update Date: 05/16/2012
Medical Identifiers
Medical identifiers for Mrs Rebecca Sue Nickerson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912267568 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Rebecca Sue Nickerson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Rebecca Sue Nickerson, MASSAGE THERAPIST 203 Luther Ave, Pontiac, MI 48341-2776 Ph: (248) 688-6039 | Mrs Rebecca Sue Nickerson, MASSAGE THERAPIST 203 Luther Ave, Pontiac, MI 48341-2776 Ph: (248) 688-6039 |
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