AMANDA LEE NICHOLS (NPI# 1659886141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659886141 |
Entity Type | Individual |
Full Name | AMANDA LEE NICHOLS |
Credential | LMT |
Practice Address |
3703 Taylorsville Rd Ste 213 Louisville KY 40220-1331 |
Mailing Address |
3544 Brockton Ln Apt 11 Louisville KY 40220-1735 |
Practice Telephone | 5025334944 |
Mailing Telephone | 5025334944 |
Enumeration Date | 2017-12-06 |
Last Update Date | 2017-12-06 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | 108371 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528341534 | Amanda Elizabeth Nichols | Pharmacist | 1706 Crepe Myrtle Dr, Jonesboro, AR 72401-7829 | 2011-09-26 |
1205139797 | Amanda Jean Nichols | Licensed Practical Nurse | 1958 Co Rd 1035, Ashland, OH 44805 | 2010-12-06 |
1831428572 | Amanda Rae Nichols | Doula | 635 Se 41st Ave, Apt 46, Portland, OR 97214-3267 | 2009-12-08 |
1518586122 | Amanda Nichols | Military Health Care Provider | 2630 Central Ave # 3349, Eielson Afb, AK 99702-2301 | 2020-04-14 |
1740832948 | Amanda Nichols | Speech-Language Pathologist | 313 S 5th St, Odessa, DE 19730-2078 | 2019-07-09 |
1821655127 | Amanda Nichols | Speech-Language Pathologist | 315 6th St S, Oneonta, AL 35121-1828 | 2019-05-22 |
1366928624 | Amanda Nichols | Chiropractor | 2377 Cumberland Square Dr, Bettendorf, IA 52722-3251 | 2018-07-19 |
1689109639 | Amanda Donn Nichols | Physical Therapy Assistant | 361 Windburn Ln, Grayson, KY 41143-8372 | 2017-04-27 |
1477915304 | Amanda Nichols | Counselor | 1209 Independence Blvd Ste 105, Virginia Beach, VA 23455-5569 | 2016-03-21 |
1710355888 | Amanda Nichols | Pharmacist | 800 Waverley Rd, North Andover, MA 01845-5047 | 2015-09-08 |
Street Address |
3703 TAYLORSVILLE RD STE 213 |
City | LOUISVILLE |
State | KY |
Zip Code | 40220-1331 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811502560 | Louis James Walker IIi | Physical Therapist | 8904 Elks Bluff Drive, Unit 02206, Apt 206, Louisville, KY 40220 | 2020-09-10 |
1396207148 | Kristan Shay Swindler | Specialist/Technologist, Other | 3008 Furman Blvd., Louisville, KY 40220 | 2019-04-02 |
1033686191 | Reine Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 3405 Breckenridge Lane, Louisville, KY 40220 | 2018-10-26 |
1053828145 | Angelique Marie Leist | Registered Nurse | 3103 Breckenridge Ln Ste 1, Louisville, KY 40220 | 2018-01-10 |
1811413925 | Virginia Zimlich | Physical Therapist | 2807 Alice Ave, Louisville, KY 40220 | 2017-08-21 |
1255860649 | Susan Marie Elder | Registered Nurse | 2816 Esther Blvd, Louisville, KY 40220 | 2017-06-08 |
1215300611 | Katie Kipfer | Day Training/Habilitation Specialist | 3902 Graf Drive, Louisville, KY 40220 | 2015-11-06 |
1639547987 | Meghan Hillerich | Home Health | 13 Canterbury Drive, Louisville, KY 40220 | 2015-09-03 |
1376921098 | Dental Services of Kentucky, Psc | Dentist | 3946 Taylorsville Rd., Louisville, KY 40220 | 2015-05-14 |
1093103574 | Joann Bartolone Murphy | Developmental Therapist | 3717 Taylorsville Rd., Louisville, KY 40220 | 2015-01-06 |
Find all providers in zip 40220 |
Taxonomy Code | 225700000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Massage Therapist |
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093312589 | Jorden E. Duvall | Massage Therapist | 703 W Ashland Ave, Louisville, KY 40215-2403 | 2020-10-07 |
1538766787 | Talina Rene Loren | Massage Therapist | 1340 S 3rd St Apt 217, Louisville, KY 40208-2332 | 2020-10-01 |
1114532579 | Megan Trodglen | Massage Therapist | 3607 Ethelwood Dr, Louisville, KY 40299-3339 | 2020-09-12 |
1477166783 | Victoria Newman | Massage Therapist | 543 N 44th St, Louisville, KY 40212-2710 | 2020-08-26 |
1013529858 | Amber Nicole Squires | Massage Therapist | 2044 Midland Ave Apt 2, Louisville, KY 40204-2287 | 2020-08-22 |
1710599865 | Jessica D Boyd | Massage Therapist | 10102 Summit Park Pl Apt 201, Louisville, KY 40241-3833 | 2020-08-20 |
1124630363 | Karli Shae Neutz | Massage Therapist | 1860 Mellwood Ave Ste 179, Louisville, KY 40206-1033 | 2020-08-19 |
1093332330 | Elizabeth Heustis | Massage Therapist | 1012 Bluegrass Ave, Louisville, KY 40215-2314 | 2020-07-02 |
1396371860 | Marcella Alice Thompson | Massage Therapist | 5516 Overbrook Woods Pl Apt 103, Louisville, KY 40291-5436 | 2020-03-17 |
1154951432 | Suwannee Norwood | Massage Therapist | 3608 Springhurst Blvd, Louisville, KY 40241-4142 | 2020-01-24 |
Find all providers in LOUISVILLE |
City | LOUISVILLE |
Zip Code | 40220 |
Please comment or provide details below to improve the information on AMANDA LEE NICHOLS.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.