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

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00015786 (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.