| Doctor Name: | TABITHA LYNN NICHOLS |
| NPI Number: | 1871855510 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.M.T |
| License Number: | 2011004613 |
| Business Practice Address: | 801 S Commercial St Harrisonville, MO - 647011603 |
| Business Phone Number: | 8168840309 |
| Business Fax Number: | |
| Mailing Address: | 401 Galaxie Ave, HARRISONVILLE |
| State: | MO |
| Postal Code: | 647012078 |
| Phone Number: | 8168840309 |
| Fax Number: | |
| NPI Enumeration Date: | 06/08/2012 |
| NPI Last Update Date: | 06/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225700000X |
| License Number: | 2011004613 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| 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. |