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Ivy Atisa Nanigans, LMT
Massage Therapist in Vancouver, Washington
NPI 1417708447

Ivy Atisa Nanigans is a Massage Therapist based in Vancouver, WA. Ivy Atisa Nanigans practices in Vancouver, WA and has the professional credentials of LMT. The NPI Number for Ivy Atisa Nanigans is 1417708447 and holds a License No. 61511736 (Washington).

The current practice location address for Ivy Atisa Nanigans is 1508 Broadway St, Vancouver, WA and can be reached out via phone at 360-635-3477.

Location: 1508 Broadway St, Vancouver, WA, 98664-1415
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417708447
Provider Name
Ivy Atisa Nanigans
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
1508 Broadway St, Vancouver, WA, 98664-1415
Phone Number
360-635-3477
Fax Number
Provider Enumeration Date
03/28/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1508 Broadway St
City
Vancouver
State
Washington
Zip
98663-3434
Phone Number
360-635-3477
Fax Number
person
Provider Business Mailing Address Details
Address
1508 Broadway St
City
Vancouver
State
Washington
Zip
98663-3434
Phone Number
360-635-3477
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
61511736 (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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