NICOLE D BULLOCK LBWMT NPI 1023604048

NPI Information

  • NPI: 1023604048
  • Provider Name: NICOLE D BULLOCK, LBWMT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 10303 N PORT WASHINGTON RD STE 102
    MEQUON, WI
    ZIP 53092
  • Phone: (262) 505-7950

Map and Directions

Get Directions

NPI Details

Nicole D Bullock, LBWMT is a massage therapist in Mequon, WI. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Nicole D Bullock, LBWMT NPI is 1023604048. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10303 N PORT WASHINGTON RD STE 102
MEQUON, WI
ZIP 53092-760
Phone: (262) 505-7950

The enumeration date for this NPI number is 12/14/2020 and was last updated on 12/14/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage Therapist12824-146WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI