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

Mrs. Nicole Renee Moberly, MT

Individual provider Massage Therapist · NPI 1780858365

Mrs. Nicole Renee Moberly, MT is a Massage Therapist in Grand Rapids, Michigan. Practices as a sole proprietor. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
MT — Medical Technologist
Performs laboratory testing on clinical specimens.

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Practice location Address checks out

5060 Cascade Rd SE
Grand Rapids, MI 49546-3808
Phone: (616) 610-1097
Fax: (616) 940-4594
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X

Record details

NPI number1780858365
Entity typeIndividual (Type 1)
GenderFemale
Credentials MT
Sole proprietorYes
NPI enumeratedApril 15, 2008
Last updated in NPPESApril 15, 2008

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