MS. Nichole M Sandahl, LMT

NPI #1104199306 in Beaverton, Oregon

Provider Information

NPI Number: 1104199306
Entity Type: Individual
Name: MS. Nichole M Sandahl, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Feb 17, 2012
Last Updated: Feb 17, 2012

Practice Location

Address: 1360 SW 176TH TER
City: Beaverton
State: Oregon
ZIP Code: 97006-7562
Phone: (503) 933-2112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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