Nichole Renenn Bortle LMP

NPI 1013003102 - Massage Therapist - 225700000X

NPI Details
NPI 1013003102
Gender Female
Enumeration Date 10/05/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
SEATAC WA, 98188-5470, US
Phone (253) 945-8354
Fax (253) 945-8298
Business Location
PO BOX 24255
FEDERAL WAY WA, 98093-1255, US
Phone (253) 945-8354
Fax (253) 945-8298
Taxonomy Code 225700000X
License State Washington
License Number MA00015786
Remove 1013003102 NPI Number

According to our database, Nichole Renenn Bortle LMP NPI is 1013003102, taxonomy code is 225700000X and license number is MA00015786, license state is located at Washington. Nichole Renenn Bortle LMP physically located at 19800 International Blvd, Seatac WA, 98188-5470. NPI Number Nichole Renenn Bortle LMP has the Individual type.

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1013003102 NPI number is provided on an as is basis without warranty of any kind. 1013003102 is maintained by the National Plan & Provider Enumeration System. The contents of Nichole Renenn Bortle LMP are for informational purposes only.