Nicole Marie Dewitt, L.M.T.

NPI #1194150565 in Vernonia, Oregon

Provider Information

NPI Number: 1194150565
Entity Type: Individual
Name: Nicole Marie Dewitt, L.M.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: L.M.T.
Enumeration Date: Sep 4, 2013
Last Updated: Sep 4, 2013

Practice Location

Address: 842 2ND AVE
City: Vernonia
State: Oregon
ZIP Code: 97064-1008
Phone: (971) 409-8443

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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