Individual provider · Type 1 NPI

Joshua Phillip Nickelsen

Massage Therapist · Portland, OR

NPI number 1942964838 Active

Practice location

3630 SE Cesar E Chavez Blvd Apt 11
Portland, OR 97202-1700

Call (917) 617-4741 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X26433 (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 1942964838

Joshua Phillip Nickelsen's National Provider Identifier is 1942964838, issued on Oct 26, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Oct 26, 2021.