Healthcare Provider Details

I. General information

NPI: 1609781681
Provider Name (Legal Business Name): NICHOLE MARIE TODD LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3141 BUTTERCUP DR
BILLINGS MT
59102-4419
US

IV. Provider business mailing address

3141 BUTTERCUP DR
BILLINGS MT
59102-4419
US

V. Phone/Fax

Practice location:
  • Phone: 605-510-2169
  • Fax:
Mailing address:
  • Phone: 605-510-2169
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberLMT-LMT-LIC-32795
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: