Provider Demographics
NPI:1700236999
Name:SCHLUMPBERGER, NICOLE (CMT)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:SCHLUMPBERGER
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:97 DOBBINS ST STE B
Mailing Address - Street 2:
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95688-2700
Mailing Address - Country:US
Mailing Address - Phone:707-301-9792
Mailing Address - Fax:
Practice Address - Street 1:97 DOBBINS ST STE B
Practice Address - Street 2:
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95688-2700
Practice Address - Country:US
Practice Address - Phone:707-301-9792
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-17
Last Update Date:2016-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist