Individual provider · Type 1 NPI

Nicole Marie Dewitt, L.M.T.

Massage Therapist · Vernonia, OR

NPI number 1194150565 Active

Practice location

842 2nd Ave
Vernonia, OR 97064-1008

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X16099 (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 1194150565

Nicole Marie Dewitt, L.M.T.'s National Provider Identifier is 1194150565, issued on Sep 4, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Vernonia, OR. The record was last updated on Sep 4, 2013.