Individual provider · Type 1 NPI

Atheena Dawn Walters Niese, LMT

Massage Therapist · Ottawa, OH

NPI number 1639342603 Active

Practice location

207 Blanchard Avenue
Ottawa, OH 45875

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X33-015503 (OH)

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 1639342603

Atheena Dawn Walters Niese, LMT's National Provider Identifier is 1639342603, issued on Apr 10, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Ottawa, OH. The record was last updated on Apr 10, 2008.