Doctor Name: | SHARON B NOLES |
NPI Number: | 1104140672 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, RRT, LMT |
License Number: | MA53473 |
Business Practice Address: | 855 Ne 4th St Crystal River, FL - 344294415 |
Business Phone Number: | 3524227853 |
Business Fax Number: | 3527943234 |
Mailing Address: | 1812 Kimberly Ln, INVERNESS |
State: | FL |
Postal Code: | 344524408 |
Phone Number: | 3524227853 |
Fax Number: | |
NPI Enumeration Date: | 03/26/2010 |
NPI Last Update Date: | 03/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA53473 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |