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Miss Nicole Michelle Bulldis-frost, LMP
Massage Therapist in Bonney Lake, Washington
NPI 1770609422

Nicole Michelle Bulldis-frost is a Massage Therapist based in Bonney Lake, WA. Nicole Michelle Bulldis-frost practices in Bonney Lake, WA and has the professional credentials of LMP. The NPI Number for Nicole Michelle Bulldis-frost is 1770609422 and holds a License No. MA00022490 (Washington).

The current practice location address for Nicole Michelle Bulldis-frost is 22015 State Route 410 E, Bonney Lake, WA and can be reached out via phone at 253-891-9109.

Location: 22015 State Route 410 E, Bonney Lake, WA, 98391-4241
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Provider Profile Details
NPI Number
1770609422
Provider Name
Nicole Michelle Bulldis-frost
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
22015 State Route 410 E, Bonney Lake, WA, 98391-4241
Phone Number
253-891-9109
Fax Number
Provider Enumeration Date
03/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0212602 01 WC LNI
institution
Provider Business Practice Location Address Details
Address
22015 State Route 410 E
City
State
Zip
98391-4241
Phone Number
253-891-9109
Fax Number
person
Provider Business Mailing Address Details
Address
22015 State Route 410 E
City
State
Zip
98391-4241
Phone Number
253-891-9109
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
MA00022490 (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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