Individual provider · Type 1 NPI

Michael T. McNicholas

Massage Therapist · Tualatin, OR

NPI number 1942567557 Active

Practice location

7052 SW Nyberg St
Tualatin, OR 97062-9231

Call (503) 766-3366 Map

Fax (503) 766-3366

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X17929 (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 1942567557

Michael T. McNicholas's National Provider Identifier is 1942567557, issued on Apr 19, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Tualatin, OR. The record was last updated on Apr 19, 2012.