person
Nicolle Dourte, LMP
Massage Therapist in Renton, Washington
NPI 1417321845

Nicolle Dourte is a Massage Therapist based in Renton, WA. Nicolle Dourte practices in Renton, WA and has the professional credentials of LMP. The NPI Number for Nicolle Dourte is 1417321845 and holds a License No. MA60500027 (Washington).

The current practice location address for Nicolle Dourte is 200 S Tobin St, Renton, WA and can be reached out via phone at 425-243-7705.

Location: 200 S Tobin St, Renton, WA, 98057-5338
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Provider Profile Details
NPI Number
1417321845
Provider Name
Nicolle Dourte
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
200 S Tobin St, Renton, WA, 98057-5338
Phone Number
425-243-7705
Fax Number
Provider Enumeration Date
11/23/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MA60500027 01 WA DEPARTMENT OF HEALTH
institution
Provider Business Practice Location Address Details
Address
200 S Tobin St
City
State
Zip
98057-5338
Phone Number
425-243-7705
Fax Number
person
Provider Business Mailing Address Details
Address
200 S Tobin St
City
State
Zip
98057-5338
Phone Number
425-243-7705
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
MA60500027 (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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