Individual provider · Type 1 NPI

Nicole Young, LMT

Massage Therapist · Wilsonville, OR

NPI number 1457729873 Active

Practice location

8695 SW Jack Burns Blvd, Suite E
Wilsonville, OR 97070-5797

Mailing address

16147 NW Canton St, #303
Portland, OR 97229-1110

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X21051 (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 1457729873

Nicole Young, LMT's National Provider Identifier is 1457729873, issued on Sep 2, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Wilsonville, OR. The record was last updated on Sep 2, 2015.