Individual provider · Type 1 NPI

Nicolette Wood, LMT

Massage Therapist · Portland, OR

NPI number 1366680340 Active

Practice location

4922 N Vancouver Ave
Portland, OR 97217-2826

Mailing address

2809 N Halleck St
Portland, OR 97217-6321

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X14486 (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 1366680340

Nicolette Wood, LMT's National Provider Identifier is 1366680340, issued on Jan 28, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Nov 3, 2014.