Individual provider · Type 1 NPI

Nicholas Ryan Wilson, LMT

Massage Therapist · Beaverton, OR

NPI number 1326878711 Active

Practice location

4250 SW 182nd Ave
Beaverton, OR 97078-1650

Call (503) 764-7595 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X27466 (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 1326878711

Nicholas Ryan Wilson, LMT's National Provider Identifier is 1326878711, issued on Aug 1, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Beaverton, OR. The record was last updated on Aug 1, 2024.