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Mrs. Kelly Nicholson
Massage Therapist in Spokane, Washington
NPI 1750607826

Kelly Nicholson is a Massage Therapist based in Spokane, WA. Kelly Nicholson practices in Spokane, WA. The NPI Number for Kelly Nicholson is 1750607826 and holds a License No. MA 60111547 (Washington).

The current practice location address for Kelly Nicholson is 101 W Cataldo Ave Ste 301, Spokane, WA and can be reached out via phone at 509-327-1994 and via fax at 509-327-1911.

Location: 101 W Cataldo Ave Ste 301, Spokane, WA, 99201-3202
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750607826
Provider Name
Kelly Nicholson
Credential
Provider Entity Type
Individual
Gender
Female
Address
101 W Cataldo Ave Ste 301, Spokane, WA, 99201-3202
Phone Number
509-327-1994
Fax Number
509-327-1911
Provider Enumeration Date
04/14/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MA 60111547 01 WA WASHINGTON STATE DEPARTMENT OF HEALTH
institution
Provider Business Practice Location Address Details
Address
101 W Cataldo Ave Ste 301
City
Spokane
State
Washington
Zip
99201-3202
Phone Number
509-327-1994
Fax Number
509-327-1911
person
Provider Business Mailing Address Details
Address
101 W Cataldo Ave Ste 301
City
Spokane
State
Washington
Zip
99201-3202
Phone Number
509-327-1994
Fax Number
509-327-1911
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA 60111547 (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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