MRS. Tammy Ann Nicodemus, L.M.T.

NPI #1760539092 in Sandy, Oregon

Provider Information

NPI Number
1760539092
Entity Type
Individual
Name
MRS. Tammy Ann Nicodemus, L.M.T.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
L.M.T.
Enumeration Date
Jan 5, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
38916 PROCTOR BLVD
City
Sandy
State
Oregon
ZIP Code
97055
Phone
(503) 668-3530

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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