Nicki Vanessa Pifer, LMT
Individual provider Active NPI Massage Therapist · Fredericktown, OH
NPI 1558073148 · NPPES record last updated Dec 15, 2022
Key facts
- NPI
- 1558073148
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 33020744 (OH)
- Practice address
- 75 1/2 W College St
Fredericktown, OH 43019-1042 - Phone
- (740) 263-0803
- NPI assigned
- Dec 15, 2022
- 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 |
|---|---|---|---|
| 33020744 | OH | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 33020744 | OH | Yes |
Addresses
Primary practice location
75 1/2 W College St
Fredericktown, OH 43019-1042
Mailing address
75 W College St
Fredericktown, OH 43019-1042
Phone (740) 263-0803
Other providers in Fredericktown, OH
- Sierra Lybarger
- Linda H Mickley
- Timothy Aaron Nicol
- Casey Marie Persinger
- Laura Peugh
- Cheyann Popham
- Patricia L Porter
- Amy Denise Pothorski
- Holly Ann Price- Stickle
- Erin M Reeves
All providers in Fredericktown, OH · Massage Therapist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2022. 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.