NICOLE BUCHWALD, L.M.T., P.T.A.

Massage Therapist

Active Individual
NPI: 1124415278

Practice Address

49357 PONTIAC TRL
SUITE 104
Wixom, MI 48393

Phone: (248) 445-0788

Specialties

Specialty Code Primary License
Physical Therapy Assistant 225200000X No 5502004244 (MI)
Massage Therapist 225700000X Yes 7501001960 (MI)

Frequently Asked Questions

NPI 1124415278 is the National Provider Identifier for NICOLE BUCHWALD, L.M.T., P.T.A., a Massage Therapist provider located in Wixom, MI. This NPI was enumerated on April 15, 2015.
NICOLE BUCHWALD, L.M.T., P.T.A. practices at 49357 PONTIAC TRL, SUITE 104, Wixom, MI 48393.

Quick Facts

NPI
1124415278
Type
Individual
Enumerated
Apr 15, 2015
Last Updated
Apr 15, 2015

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