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Nichelle Rain Madison
Massage Therapist in Ruston, Washington
NPI 1710596234

Nichelle Rain Madison is a Massage Therapist based in Ruston, WA. Nichelle Rain Madison practices in Ruston, WA. The NPI Number for Nichelle Rain Madison is 1710596234 and holds a License No. 61041341 (Washington).

The current practice location address for Nichelle Rain Madison is 4901 N Pearl St, Ruston, WA and can be reached out via phone at 253-370-8671.

Location: 4901 N Pearl St, Ruston, WA, 98407-3119
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710596234
Provider Name
Nichelle Rain Madison
Credential
Provider Entity Type
Individual
Gender
Female
Address
4901 N Pearl St, Ruston, WA, 98407-3119
Phone Number
253-370-8671
Fax Number
Provider Enumeration Date
07/30/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4901 N Pearl St
City
Ruston
State
Washington
Zip
98407-3119
Phone Number
253-370-8671
Fax Number
person
Provider Business Mailing Address Details
Address
4901 N Pearl St
City
Ruston
State
Washington
Zip
98407-3119
Phone Number
253-370-8671
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
61041341 (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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