NICHOLE JEAN BURGESS

FORT WAYNE, IN
NPI1447880778
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225700000X Massage Therapist
(Licence: IN  MT22007086)
Enumeration Date2020-01-26
Last Update Date2020-01-26
Business Address
NICHOLE JEAN BURGESS LMT
1230 RUSTON PASS STE B
FORT WAYNE, IN 46825-1572
Phone number: 260-797-6100
Mailing Address
NICHOLE JEAN BURGESS LMT
1230 RUSTON PASS STE B
FORT WAYNE, IN 46825-1572
Phone number: 260-797-6100