Nichols, Dandy
Nichols, Dandy is an sole proprietor health care provider with primary practice located at 6065 Roswell Rd Ste 170 , Atlanta GA 30328-4034. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Mechanotherapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist is his primary health care specialty. Nichols, Dandy can be contacted via phone (512) 589-7274.Contact Information
Primary practice address
6065 Roswell Rd Ste 170
Atlanta GA 30328-4034
Phone: (512) 589-7274
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Mechanotherapist | 172M00000X | MT009639 | Georgia |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MT009639 | Georgia |
Profile Details
| NPI number | 1013469915 |
|---|---|
| LBN Legal business name | Nichols, Dandy |
| Credentials | NMT, LMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 26th, 2016 |
| Last updated | May 6th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013469915 | NPPES |
| Georgia | Other | MT009639 | MASSAGE LICENSE |
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