Nicole Marie Dewitt, LMT | |
842 2nd Ave, Vernonia, OR 97064-1008 | |
(971) 409-8443 | |
Not Available |
Full Name | Nicole Marie Dewitt |
---|---|
Gender | Female |
Speciality | Massage Therapist |
Location | 842 2nd Ave, Vernonia, Oregon |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194150565 | NPI | - | NPPES |
16099 | Other | OR | OREGON BOARD OF MASSAGE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 16099 (Oregon) | Primary |
Mailing Address | Practice Location Address |
---|---|
Nicole Marie Dewitt, LMT 842 2nd Ave, Vernonia, OR 97064-1008 Ph: (971) 409-8443 | Nicole Marie Dewitt, LMT 842 2nd Ave, Vernonia, OR 97064-1008 Ph: (971) 409-8443 |
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