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Mrs. Tammy Ann Nicodemus, LMT
Massage Therapist in Sandy, Oregon
NPI 1760539092

Tammy Ann Nicodemus is a Massage Therapist based in Eagle Creek, OR. Tammy Ann Nicodemus practices in Sandy, OR and has the professional credentials of LMT. The NPI Number for Tammy Ann Nicodemus is 1760539092 and holds a License No. 11824 (Oregon).

The current practice location address for Tammy Ann Nicodemus is 38916 Proctor Blvd, Sandy, OR and can be reached out via phone at 503-668-3530.

Location: 38916 Proctor Blvd, Sandy, OR, 97022-0202
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760539092
Provider Name
Tammy Ann Nicodemus
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
38916 Proctor Blvd, Sandy, OR, 97022-0202
Phone Number
503-668-3530
Fax Number
Provider Enumeration Date
01/05/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
38916 Proctor Blvd
City
Sandy
State
Oregon
Zip
97055
Phone Number
503-668-3530
Fax Number
person
Provider Business Mailing Address Details
Address
38916 Proctor Blvd
City
Sandy
State
Oregon
Zip
97055
Phone Number
503-668-3530
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
11824 (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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