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Nicole Marie Dewitt, LMT
Massage Therapist in Vernonia, Oregon
NPI 1194150565

Nicole Marie Dewitt is a Massage Therapist based in Vernonia, OR. Nicole Marie Dewitt practices in Vernonia, OR and has the professional credentials of LMT. The NPI Number for Nicole Marie Dewitt is 1194150565 and holds a License No. 16099 (Oregon).

The current practice location address for Nicole Marie Dewitt is 842 2Nd Ave, Vernonia, OR and can be reached out via phone at 971-409-8443.

Location: 842 2Nd Ave, Vernonia, OR, 97064-1008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194150565
Provider Name
Nicole Marie Dewitt
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
842 2Nd Ave, Vernonia, OR, 97064-1008
Phone Number
971-409-8443
Fax Number
Provider Enumeration Date
09/04/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
16099 01 OR OREGON BOARD OF MASSAGE
institution
Provider Business Practice Location Address Details
Address
842 2Nd Ave
City
Vernonia
State
Oregon
Zip
97064-1008
Phone Number
971-409-8443
Fax Number
person
Provider Business Mailing Address Details
Address
842 2Nd Ave
City
Vernonia
State
Oregon
Zip
97064-1008
Phone Number
971-409-8443
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
16099 (Oregon)
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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