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NPI Code Detail

MEDICARE: MARILYN E NYLEN LMT, NCBTMB

MEDICARE: MARILYN E NYLEN LMT, NCBTMB
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
1225700000XMassage Therapist2776MNH

General Provider Information

NPI Number : 1700034683
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARILYN E NYLEN LMT, NCBTMB
Provider Business Mailing Address
First Line : 114 S STATE ST
Second Line :
City : CONCORD
State : NH
Zip : 03301-3528
Country : US
Telephone Number : 603-225-0250
Fax Number :
Provider Business Practice Location Address
First Line : 114 S STATE ST
Second Line :
City : CONCORD
State : NH
Zip : 03301-3528
Country : US
Telephone Number : 603-225-0250
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2008
Last Update Date : 09/13/2008

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Directions to “ MARILYN E NYLEN LMT, NCBTMB” Practice Location

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