person
Ms. Nicole M Smith, LMP
Massage Therapist in Renton, Washington
NPI 1871586073

Nicole M Smith is a Massage Therapist based in Puyallup, WA. Nicole M Smith practices in Renton, WA and has the professional credentials of LMP. The NPI Number for Nicole M Smith is 1871586073 and holds a License No. MA00010064 (Washington).

The current practice location address for Nicole M Smith is 17650 140Th Ave Se, Renton, WA and can be reached out via phone at 425-430-0700 and via fax at 425-430-0710.

Location: 17650 140Th Ave Se, Renton, WA, 98373-0060
person
Provider Profile Details
NPI Number
1871586073
Provider Name
Nicole M Smith
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
17650 140Th Ave Se, Renton, WA, 98373-0060
Phone Number
425-430-0700
Fax Number
425-430-0710
Provider Enumeration Date
08/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4324SM 01 WA REGENCE BS
8930149 01 WA CRIME VICTIMS
181042 01 WA DEPT OF L&I
institution
Provider Business Practice Location Address Details
Address
17650 140Th Ave Se
City
State
Zip
98058-6814
Phone Number
425-430-0700
Fax Number
425-430-0710
person
Provider Business Mailing Address Details
Address
17650 140Th Ave Se
City
State
Zip
98058-6814
Phone Number
425-430-0700
Fax Number
425-430-0710
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
MA00010064 (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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