Individual provider · Type 1 NPI

Nichole M. Sandahl, LMT

Massage Therapist · Beaverton, OR

NPI number 1104199306 Active

Practice location

1360 SW 176th Ter
Beaverton, OR 97006-7562

Call (503) 933-2112 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X16839 (OR)

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 1104199306

Nichole M. Sandahl, LMT's National Provider Identifier is 1104199306, issued on Feb 17, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Beaverton, OR. The record was last updated on Feb 17, 2012.