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

MS. Maya Grace Nicholls, CMT

Individual provider Specialist · NPI 1356601033

MS. Maya Grace Nicholls, CMT is a Specialist in Petaluma, California. Practices as a sole proprietor. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

405 D St Ste 1
Petaluma, CA 94952-3006
Phone: (415) 342-1345
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1356601033
Entity typeIndividual (Type 1)
GenderFemale
Credentials CMT
Sole proprietorYes
NPI enumeratedMay 29, 2012
Last updated in NPPESMay 29, 2012

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