Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225700000X | Massage Therapist | 7635 | NH |
NPI | 1013050558 |
---|---|
Provider Name | Ms. Elizabeth Nelson |
First Address | Derry, NH 03038-4333 |
Second Address | Derry, NH 03038 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2007 |
Last Update Date | 10/12/2021 |