Individual provider · Type 1 NPI

Janelle Nicholson, LMT

Massage Therapist · Grants Pass, OR

NPI number 1104438118 Active

Practice location

333 SW 5th St Ste B
Grants Pass, OR 97526-2509

Call (541) 507-9894 Map

Fax (541) 471-6459

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X24541 (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 1104438118

Janelle Nicholson, LMT's National Provider Identifier is 1104438118, issued on Aug 20, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Grants Pass, OR. The record was last updated on Aug 20, 2020.