MEDICARE: MRS. NICOLE PATTERSON-MALONE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	33.022903	OH

General Provider Information

NPI Number	:	1003763053
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NICOLE PATTERSON-MALONE

Provider Business Mailing Address
First Line	:	2675 KANTIAN DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43219-8114
Country	:	US
Telephone Number	:	614-309-9509
Fax Number	:

Provider Business Practice Location Address
First Line	:	5980 CLEVELAND AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-2230
Country	:	US
Telephone Number	:	614-309-9509
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/10/2026

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Directions to “ MRS. NICOLE PATTERSON-MALONE ” Practice Location

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