| Organization Name: | DR NICK WASLYN DC P A |
| NPI Number: | 1639345531 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NICHOLAS A WASLYN (OWNER PRESIDENT) |
| Mailing Address: | 4406 S Florida Ave Suite 25 Lakeland |
| State: | FL US |
| Postal Code: | 338132172 |
| Phone Number: | 8637010109 |
| Fax Number: | 8637010309 |
| NPI Enumeration Date: | 05/01/2008 |
| NPI Last Update Date: | 04/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225700000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| 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. |