Shirley Dianne Nicks, CMT is a
Massage Therapist based in Pope Valley, California. Shirley Dianne Nicks is licensed to practice in California (license number ) and her current practice location is
8450 Butts Canyon Road, Pope Valley, California. She can be reached at her office (for appointments etc.) via phone at
(707) 965-9242.
NPI number for Shirley Dianne Nicks is 1457595639 and her current mailing address is 8450 Butts Canyon Road, Po Box 146, Pope Valley, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457595639.
Healthcare Provider's Profile
Full Name | Shirley Dianne Nicks |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 8450 Butts Canyon Road, Pope Valley, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1457595639
- Provider Enumeration Date: 05/01/2009
- Last Update Date: 05/01/2009
Medical Identifiers
Medical identifiers for Shirley Dianne Nicks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457595639 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | (California) | 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. Shirley Dianne Nicks 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 |
Shirley Dianne Nicks, CMT 8450 Butts Canyon Road, Po Box 146, Pope Valley, CA 94567 Ph: (707) 965-9242 | Shirley Dianne Nicks, CMT 8450 Butts Canyon Road, Pope Valley, CA 94567 Ph: (707) 965-9242 |
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