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Atheena Dawn Walters Niese, LMT
Massage Therapist in Ottawa, Ohio
NPI 1639342603

Atheena Dawn Walters Niese is a Massage Therapist based in Ottawa, OH. Atheena Dawn Walters Niese practices in Ottawa, OH and has the professional credentials of LMT. The NPI Number for Atheena Dawn Walters Niese is 1639342603 and holds a License No. 33-015503 (Ohio).

The current practice location address for Atheena Dawn Walters Niese is 207 Blanchard Avenue, Ottawa, OH and can be reached out via phone at 419-889-1047.

Location: 207 Blanchard Avenue, Ottawa, OH, 45875
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639342603
Provider Name
Atheena Dawn Walters Niese
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
207 Blanchard Avenue, Ottawa, OH, 45875
Phone Number
419-889-1047
Fax Number
Provider Enumeration Date
04/10/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
207 Blanchard Avenue
City
Ottawa
State
Ohio
Zip
45875
Phone Number
419-889-1047
Fax Number
person
Provider Business Mailing Address Details
Address
207 Blanchard Avenue
City
Ottawa
State
Ohio
Zip
45875
Phone Number
419-889-1047
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
33-015503 (Ohio)
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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