Nichole Jean Burgess, LMT | |
1230 Ruston Pass Ste B, Fort Wayne, IN 46825-1572 | |
(260) 797-6100 | |
Not Available |
Full Name | Nichole Jean Burgess |
---|---|
Gender | Female |
Speciality | Massage Therapist |
Location | 1230 Ruston Pass Ste B, Fort Wayne, Indiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447880778 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | MT22007086 (Indiana) | Primary |
Mailing Address | Practice Location Address |
---|---|
Nichole Jean Burgess, LMT 1230 Ruston Pass Ste B, Fort Wayne, IN 46825-1572 Ph: (260) 797-6100 | Nichole Jean Burgess, LMT 1230 Ruston Pass Ste B, Fort Wayne, IN 46825-1572 Ph: (260) 797-6100 |
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Ms. Carol Lynn Steinbach, MASSAGE THERAPIST Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 12101 Hand Rd., Fort Wayne, IN 46818 Phone: 260-637-4149 | |
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