Individual provider · Type 1 NPI
Nichole Renenn Bortle, LMP
Massage Therapist · Seatac, WA
NPI number
1013003102
Active
Practice location
19800 International Blvd
Seatac, WA 98188-5470
Fax (253) 945-8298
Mailing address
PO Box 24255
Federal Way, WA 98093-1255
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA00015786 (WA) |
Massage Therapist: 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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About NPI 1013003102
Nichole Renenn Bortle, LMP's National Provider Identifier is 1013003102, issued on Oct 5, 2006. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Seatac, WA. The record was last updated on Jul 8, 2007.