MEDICARE: ONNA NAHIKIAN 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	7501003519	MI

General Provider Information

NPI Number	:	1871367367
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ONNA NAHIKIAN LMT

Provider Business Mailing Address
First Line	:	2110 1ST ST
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48708-6373
Country	:	US
Telephone Number	:	989-415-4601
Fax Number	:

Provider Business Practice Location Address
First Line	:	914 N EUCLID AVE
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48706-2467
Country	:	US
Telephone Number	:	989-414-3535
Fax Number	:

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

Provider Enumeration Date	:	11/14/2023
Last Update Date	:	11/14/2023

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