Individual provider · Type 1 NPI

Ivy Atisa Nanigans, LMT

Massage Therapist · Vancouver, WA

NPI number 1417708447 Active

Practice location

1508 Broadway St
Vancouver, WA 98663-3434

Call (360) 635-3477 Map

Mailing address

303 N Garrison Rd
Vancouver, WA 98664-1415

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X61511736 (WA)

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 1417708447

Ivy Atisa Nanigans, LMT's National Provider Identifier is 1417708447, issued on Mar 28, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Vancouver, WA. The record was last updated on Mar 28, 2024.