Nichole Renenn Bortle, LMP

NPI #1013003102 in Seatac, Washington

Provider Information

NPI Number
1013003102
Entity Type
Individual
Name
Nichole Renenn Bortle, LMP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Massage Therapist
Credential
LMP
Enumeration Date
Oct 5, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
19800 INTERNATIONAL BLVD
City
Seatac
ZIP Code
98188-5470
Phone
(253) 945-8354

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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