Individual provider · Type 1 NPI

Nicolette Marie Penley, LMT, CA

Massage Therapist · The Dalles, OR

NPI number 1114608866 Active

Practice location

100 E 2nd St
The Dalles, OR 97058-1704

Call (541) 900-5400 Map

Mailing address

1611 Nevada St
The Dalles, OR 97058-3328

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X27740 (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 1114608866

Nicolette Marie Penley, LMT, CA's National Provider Identifier is 1114608866, issued on Jul 26, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in The Dalles, OR. The record was last updated on Jul 26, 2023.