Colclasure, Nickey Dawn

Colclasure, Nickey Dawn is an sole proprietor health care provider with primary practice located at 2711 Se I St Ste 11 , Bentonville AR 72712-3209. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Colclasure, Nickey Dawn can be contacted via phone (479) 256-2170.

Contact Information

Primary practice address
2711 Se I St Ste 11 Bentonville AR 72712-3209
Phone: (479) 256-2170
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 7782 Arkansas

Profile Details

NPI number 1578253118
LBN Legal business name Colclasure, Nickey Dawn
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2023
Last updated May 8th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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