Individual provider · Type 1 NPI

Tammy Ann Nicodemus, L.M.T.

Massage Therapist · Sandy, OR

NPI number 1760539092 Active

Practice location

38916 Proctor Blvd
Sandy, OR 97055

Call (503) 668-3530 Map

Mailing address

PO Box 202
Eagle Creek, OR 97022-0202

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X11824 (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 1760539092

Tammy Ann Nicodemus, L.M.T.'s National Provider Identifier is 1760539092, issued on Jan 5, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Sandy, OR. The record was last updated on Jul 8, 2007.