NICOLE BRODERICK, LMT
Massage Therapist
Active
Individual
NPI: 1396375747
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Massage Therapist | 225700000X | Yes | 016018-1 (NY) |
Frequently Asked Questions
NPI 1396375747 is the National Provider Identifier for NICOLE BRODERICK, LMT, a Massage Therapist provider located in East Islip, NY. This NPI was enumerated on January 23, 2020.
NICOLE BRODERICK, LMT practices at 99 E MAIN ST STE 1, East Islip, NY 11730.
Quick Facts
- NPI
- 1396375747
- Type
- Individual
- Enumerated
- Jan 23, 2020
- Last Updated
- Jan 23, 2020
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