Individual provider · Type 1 NPI

Misty Moon Nickel, LMP

Massage Therapist · Seattle, WA

NPI number 1700029915 Active

Practice location

1107 Elliott Ave W
Seattle, WA 98119-3102

Call (206) 781-4576 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA 00017860 (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 1700029915

Misty Moon Nickel, LMP's National Provider Identifier is 1700029915, issued on Apr 17, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Seattle, WA. The record was last updated on Apr 17, 2009.