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Stacey L Nickerson, LMP
Massage Therapist in Vancouver, Washington
NPI 1144544123

Stacey L Nickerson is a Massage Therapist based in Vancouver, WA. Stacey L Nickerson practices in Vancouver, WA and has the professional credentials of LMP. The NPI Number for Stacey L Nickerson is 1144544123 and holds a License No. MA00021266 (Washington).

The current practice location address for Stacey L Nickerson is 3000 Se 164Th Ave, Vancouver, WA and can be reached out via phone at 360-896-6037 and via fax at 360-944-0144.

Location: 3000 Se 164Th Ave, Vancouver, WA, 98683-9314
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144544123
Provider Name
Stacey L Nickerson
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
3000 Se 164Th Ave, Vancouver, WA, 98683-9314
Phone Number
360-896-6037
Fax Number
360-944-0144
Provider Enumeration Date
03/20/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3000 Se 164Th Ave
City
Vancouver
State
Washington
Zip
98683-9314
Phone Number
360-896-6037
Fax Number
360-944-0144
person
Provider Business Mailing Address Details
Address
3000 Se 164Th Ave
City
Vancouver
State
Washington
Zip
98683-9314
Phone Number
360-896-6037
Fax Number
360-944-0144
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA00021266 (Washington)
Definition
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.
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