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

Nicole Holly Gordon

Individual provider Massage Therapist · NPI 1265395768

Nicole Holly Gordon is a Massage Therapist in Glendale, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

1134 1/2 N Maryland Ave
Glendale, CA 91207-1607
Phone: (310) 696-9860
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 93715 (CA)

Record details

NPI number1265395768
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 3, 2025
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025

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