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

Mr. Nicholas Pernell Vines Sr.

Individual provider Massage Therapist · NPI 1174141428

Mr. Nicholas Pernell Vines Sr. is a Massage Therapist in Montgomery, Alabama. Practices as a sole proprietor. Licensed in Alabama.

Licensed in
AL
In the registry since
2020

Practice location Address checks out

2201 Sagewood Dr
Montgomery, AL 36117-2428
Phone: (334) 676-2414
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 5521 (AL)

Record details

NPI number1174141428
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 13, 2020
Last updated in NPPESJuly 13, 2020
Certification dateJuly 13, 2020

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