Individual provider · Type 1 NPI

Andrea Thea Nicodemus, LMT 25036

Massage Therapist · Eugene, OR

NPI number 1306503842 Active

About NPI 1306503842

Andrea Thea Nicodemus, LMT 25036's National Provider Identifier is 1306503842, issued on Nov 18, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Eugene, OR. The record was last updated on Nov 18, 2021.