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Nikki Lee Dvorak, LMP
Massage Therapist in Everett, Washington
NPI 1558323634

Nikki Lee Dvorak is a Massage Therapist based in Everett, WA. Nikki Lee Dvorak practices in Everett, WA and has the professional credentials of LMP. The NPI Number for Nikki Lee Dvorak is 1558323634 and holds a License No. MA00020416 (Washington).

The current practice location address for Nikki Lee Dvorak is 3701 Colby Ave, Everett, WA and can be reached out via phone at 425-923-5433 and via fax at 425-322-5004. You can also correspond with Nikki Lee Dvorak through the mailing address at PO BOX 82, EVERETT, WA - 98206-0082 (mailing address contact number: 425-923-5433).

Location: 3701 Colby Ave, Everett, WA, 98206-0082
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558323634
Provider Name
Nikki Lee Dvorak
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
3701 Colby Ave, Everett, WA, 98206-0082
Phone Number
425-923-5433
Fax Number
425-322-5004
Provider Enumeration Date
04/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0143536 01 WA L & I
6978-DV-COLBY AVE 01 WA REGENCE
institution
Provider Business Practice Location Address Details
Address
3701 Colby Ave
City
Everett
State
Washington
Zip
98201-4979
Phone Number
425-923-5433
Fax Number
425-322-5004
person
Provider Business Mailing Address Details
Address
3701 Colby Ave
City
Everett
State
Washington
Zip
98201-4979
Phone Number
425-923-5433
Fax Number
425-322-5004
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA00020416 (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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