Individual provider · Type 1 NPI

Kimberlin Ruth Palmer-Nicks, LMT

Massage Therapist · Portland, OR

NPI number 1376187047 Active

Practice location

3303 SW Bond Ave Fl CHH12
Portland, OR 97239-4501

Call (503) 418-9656 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XLMT-25235 (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 1376187047

Kimberlin Ruth Palmer-Nicks, LMT's National Provider Identifier is 1376187047, issued on Nov 5, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Nov 5, 2019.