Individual provider · Type 1 NPI
Bre Nicole Jordon, LMT
Massage Therapist · Lake Stevens, WA
NPI number
1982912960
Active
Practice location
12901 28th Pl NE Ste 5
Lake Stevens, WA 98258-9230
Mailing address
6628 77th Pl NE
Marysville, WA 98270-3351
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 60140091 (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 1982912960
Bre Nicole Jordon, LMT's National Provider Identifier is 1982912960, issued on Sep 23, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lake Stevens, WA. The record was last updated on Jul 16, 2026.