Individual provider · Type 1 NPI

Nicole Rae Sime, LMT

Massage Therapist · Portland, OR

NPI number 1114093200 Active

Practice location

2304 E Burnside St, Suite #1
Portland, OR 97214

Call (503) 239-7339 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X7825 (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 1114093200

Nicole Rae Sime, LMT's National Provider Identifier is 1114093200, issued on Nov 28, 2006. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Oct 26, 2011.