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Nicole Renee Mckibben, LMT
Massage Therapist in Dallas, Oregon
NPI 1558518779

Nicole Renee Mckibben is a Massage Therapist based in Dallas, OR. Nicole Renee Mckibben practices in Dallas, OR and has the professional credentials of LMT. The NPI Number for Nicole Renee Mckibben is 1558518779 and holds a License No. 8227 (Oregon).

The current practice location address for Nicole Renee Mckibben is 140 Se Mill St, Dallas, OR and can be reached out via phone at 037-878-0695.

Location: 140 Se Mill St, Dallas, OR, 97338-1908
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558518779
Provider Name
Nicole Renee Mckibben
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
140 Se Mill St, Dallas, OR, 97338-1908
Phone Number
037-878-0695
Fax Number
Provider Enumeration Date
08/19/2008
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
140 Se Mill St
City
Dallas
State
Oregon
Zip
97338-1908
Phone Number
037-878-0695
Fax Number
person
Provider Business Mailing Address Details
Address
140 Se Mill St
City
Dallas
State
Oregon
Zip
97338-1908
Phone Number
037-878-0695
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
8227 (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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