Nicole Jirik, LMT, LE
Individual provider Active NPI Massage Therapist · Folly Beach, SC
NPI 1124448220 · NPPES record last updated Jun 14, 2016
Key facts
- NPI
- 1124448220
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MAS9039 (SC)
- Practice address
- 83 Center Street
Suite B
Folly Beach, SC 29439 - Phone
- (843) 588-5551
- NPI assigned
- Apr 16, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| MAS9039 | SC | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MAS9039 | SC | Yes |
Addresses
Primary practice location
83 Center Street
Suite B
Folly Beach, SC 29439
Mailing address
PO Box 445
Folly Beach, SC 29439-0445
Phone (843) 588-5551
Other providers in Folly Beach, SC
- Francis Marion Beylotte II
- Keith Chobot
- Folly Smiles LLC
- Paula O. Hinton
- Toni Nmi Manos
- Lacey Myer
- Darlene Oxendine Rawls
- Cristine Ann Roberts
- Deena Fawn Smith
All providers in Folly Beach, SC · Massage Therapist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2016. 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.