Nicole C Taber, LMT

NPI #1083470298 in Canyonville, Oregon

Provider Information

NPI Number: 1083470298
Entity Type: Individual
Name: Nicole C Taber, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Feb 26, 2024
Last Updated: Feb 26, 2024

Practice Location

Address: 146 CHIEF MIWALETA LN
City: Canyonville
State: Oregon
ZIP Code: 97417-9700
Phone: (541) 839-1111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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