Provider Demographics
NPI:1447661624
Name:ESKOLA, NICOLE (CMT)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:ESKOLA
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 1:2000 MERRIMAC LN N
Mailing Address - Street 2:SUITE 201
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55447-4698
Mailing Address - Country:US
Mailing Address - Phone:763-476-0202
Mailing Address - Fax:
Practice Address - Street 1:2000 MERRIMAC LN N
Practice Address - Street 2:SUITE 201
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55447-4698
Practice Address - Country:US
Practice Address - Phone:763-476-0202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-09
Last Update Date:2014-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist