Nicole D Bullock, LBWMT
Nicole D Bullock, LBWMT is a Massage Therapist in Mequon, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.
- Licensed in
- WI
- In the registry since
- 2020
Practice location Address checks out
10303 N Port Washington Rd Ste 102Mequon, WI 53092-5760
Phone: (262) 505-7950
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence 12824-146 (WI) |
|---|
Record details
| NPI number | 1023604048 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LBWMT |
| Sole proprietor | Yes |
| NPI enumerated | December 14, 2020 |
| Last updated in NPPES | December 14, 2020 |
| Certification date | December 14, 2020 |
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Mrs. Renee Lynn Goldman, LMT
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-
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