Robert Davis Nitzschke, L.M.T.

Primary specialty

ReflexologistTaxonomy code 173C00000X

License

1472M Issued in NH

Practice address

24 Country Club Dr
Apt. 16
Manchester, NH 03102-8792

Phone

(603) 620-0148

NPI assigned

Mar 27, 2013

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364342400000",
    "number": "1376886432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 COUNTRY CLUB DRIVE",
            "address_2": "APT 16",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031028771",
            "telephone_number": "603-620-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 COUNTRY CLUB DR",
            "address_2": "APT. 16",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031028792",
            "telephone_number": "603-620-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NITZSCHKE",
        "first_name": "ROBERT",
        "middle_name": "DAVIS",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "NH",
            "license": "1472M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Reflexologist in Manchester, NH
• Providers in Manchester, NH by specialty
• Reflexologist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.