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Nichole Lynn Fennell
Massage Therapist in Ferndale, Washington
NPI 1588371850

Nichole Lynn Fennell is a Massage Therapist based in Ferndale, WA. Nichole Lynn Fennell practices in Ferndale, WA. The NPI Number for Nichole Lynn Fennell is 1588371850 and holds a License No. MA00024450 (Washington).

The current practice location address for Nichole Lynn Fennell is 1920 Main St Ste 14C, Ferndale, WA and can be reached out via phone at 360-366-8398.

Location: 1920 Main St Ste 14C, Ferndale, WA, 98248-9472
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588371850
Provider Name
Nichole Lynn Fennell
Credential
Provider Entity Type
Individual
Gender
Female
Address
1920 Main St Ste 14C, Ferndale, WA, 98248-9472
Phone Number
360-366-8398
Fax Number
Provider Enumeration Date
11/04/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MA00024450 01 WA MASSAGE LICENSE
institution
Provider Business Practice Location Address Details
Address
1920 Main St Ste 14C
City
Ferndale
State
Washington
Zip
98248-9472
Phone Number
360-366-8398
Fax Number
person
Provider Business Mailing Address Details
Address
1920 Main St Ste 14C
City
Ferndale
State
Washington
Zip
98248-9472
Phone Number
360-366-8398
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA00024450 (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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