Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Jonathan Nidock, LMT

Individual provider Specialist · NPI 1558636043

Mr. Jonathan Nidock, LMT is a Specialist in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2012
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

9 E Moreland Ave
Philadelphia, PA 19118-3512
Phone: (267) 254-4712
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MSG001159 (PA)

Record details

NPI number1558636043
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedMarch 15, 2012
Last updated in NPPESMarch 15, 2012

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