person
Andrea Thea Nicodemus, LMT25036
Massage Therapist in Eugene, Oregon
NPI 1306503842

Andrea Thea Nicodemus is a Massage Therapist based in Eugene, OR. Andrea Thea Nicodemus practices in Eugene, OR and has the professional credentials of LMT25036. The NPI Number for Andrea Thea Nicodemus is 1306503842 and holds a License No. 25036 (Oregon).

The current practice location address for Andrea Thea Nicodemus is 1200 Executive Pkwy Ste 230, Eugene, OR and can be reached out via phone at 541-232-2275.

Location: 1200 Executive Pkwy Ste 230, Eugene, OR, 97405-5848
person
Provider Profile Details
NPI Number
1306503842
Provider Name
Andrea Thea Nicodemus
Credential
LMT25036
Provider Entity Type
Individual
Gender
Female
Address
1200 Executive Pkwy Ste 230, Eugene, OR, 97405-5848
Phone Number
541-232-2275
Fax Number
Provider Enumeration Date
11/18/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1200 Executive Pkwy Ste 230
City
State
Zip
97401-2365
Phone Number
541-232-2275
Fax Number
person
Provider Business Mailing Address Details
Address
1200 Executive Pkwy Ste 230
City
State
Zip
97401-2365
Phone Number
541-232-2275
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
25036 (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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