Nicole Branson, LMP

NPI #1811247000 in Tumwater, Washington

Provider Information

NPI Number: 1811247000
Entity Type: Individual
Name: Nicole Branson, LMP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Sep 14, 2012
Last Updated: Aug 12, 2014

Practice Location

Address: 111 TUMWATER BLVD SE # B106
City: Tumwater
State: Washington
ZIP Code: 98501-6400
Phone: (360) 786-8600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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