Nicole Rae Bandstra

NPI #1992583439 in Pella, Iowa

Provider Information

NPI Number: 1992583439
Entity Type: Individual
Name: Nicole Rae Bandstra
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Sep 18, 2023
Last Updated: Sep 18, 2023

Practice Location

Address: 110 E 10TH ST
City: Pella
State: Iowa
ZIP Code: 50219-2002
Phone: (641) 278-5005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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