NICOLE MALLON LMT NPI 1497632020

NPI Information

  • NPI: 1497632020
  • Provider Name: NICOLE MALLON, LMT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 3886 DOUBLE BRIDGES RD
    BATESBURG LEESVILLE, SC
    ZIP 29006
  • Phone: (508) 838-1422

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NPI Details

Nicole Mallon, LMT is a massage therapist in Batesburg Leesville, SC. 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 Mallon, LMT NPI is 1497632020. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3886 DOUBLE BRIDGES RD
BATESBURG LEESVILLE, SC
ZIP 29006-642
Phone: (508) 838-1422

The enumeration date for this NPI number is 8/18/2025 and was last updated on 8/18/2025.

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 Therapist13526SOUTH CAROLINAYes

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

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