Nicole Sechrist, LMT
Individual provider Active NPI Massage Therapist · Kreamer, PA
NPI 1003170663 · NPPES record last updated Jun 28, 2012
Key facts
- NPI
- 1003170663
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MSG000797 (PA)
- Practice address
- 295 Old Kantz Street
Kreamer, PA 17833-0123 - Phone
- (570) 374-0722
- NPI assigned
- Jun 28, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MSG000797 | PA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MSG000797 | PA | Yes |
Addresses
Primary practice location
295 Old Kantz Street
Kreamer, PA 17833-0123
Mailing address
PO Box 123
Kreamer, PA 17833-0123
Phone (570) 374-0722
Other providers in Kreamer, PA
All providers in Kreamer, PA · Massage Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.