MEDICARE: LYDIA NICOLE MANDELL LMT

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	MSG011032	PA

General Provider Information

NPI Number	:	1073034120
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYDIA NICOLE MANDELL LMT

Provider Business Mailing Address
First Line	:	728 S 4TH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19147-3120
Country	:	US
Telephone Number	:	215-280-3823
Fax Number	:

Provider Business Practice Location Address
First Line	:	728 S 4TH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19147-3120
Country	:	US
Telephone Number	:	215-922-3235
Fax Number	:

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

Provider Enumeration Date	:	06/29/2017
Last Update Date	:	06/29/2017

Similar Medicare Providers

1457533960 — DR. SCOTT E YORKER D.C., P.C.
Practice Location Address:

744 S 4TH ST
PHILADELPHIA, PA
19147-3120

Practice Phone: 215-351-1603
Practice Fax: 215-351-1609

1295261477 — FABRIC SPA, LLC
Practice Location Address:

728 S 4TH ST
PHILADELPHIA, PA
19147-3120

Practice Phone: 215-922-3235
Practice Fax:

1407382690 — CAREY VICKERS L.AC.
Practice Location Address:

728 S 4TH ST
PHILADELPHIA, PA
19147-3120

Practice Phone: 215-922-3235
Practice Fax:

1982131512 — GABRIELLE MELISSA APPLEBAUM
Practice Location Address:

728 S 4TH ST
PHILADELPHIA, PA
19147-3120

Practice Phone: 215-922-3235
Practice Fax:

1205832201 — HENRY R KRANZLER MD
Practice Location Address:

3900 CHESTNUT ST
PHILADELPHIA, PA
19104-3120

Practice Phone: 215-386-6662
Practice Fax:

1285624999 — DR. ABDUL SAMI JANJUA
Practice Location Address:

1822 E ALLEGHENY AVE
PHILADELPHIA, PA
19134-3120

Practice Phone: 215-423-2666
Practice Fax:

Directions to “ LYDIA NICOLE MANDELL LMT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.