Individual provider · Type 1 NPI
Nicole Lee Braithwaite, LMP, CPMT
Massage Therapist · North Bend, WA
NPI number
1659527810
Active
Practice location
213 Bendigo Blvd N
North Bend, WA 98045-8259
Mailing address
43411 SE 172nd Pl
North Bend, WA 98045-9660
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA 60059360 (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 1659527810
Nicole Lee Braithwaite, LMP, CPMT's National Provider Identifier is 1659527810, issued on Aug 7, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in North Bend, WA. The record was last updated on Sep 28, 2009.