Nichole Renenn Bortle, LMP
Massage Therapist in Seatac, WA. Individual provider (NPI-1).
NPI number1013003102
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1013003102
- Entity type
- Individual (NPI-1)
- Name
- Nichole Renenn Bortle
- Credential
- LMP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 5, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MA00015786 | WA | Yes |
Practice location
19800 International BlvdSeatac, WA 98188-5470
Phone 253-945-8354 · Fax 253-945-8298
Mailing address
Po Box 24255Federal Way, WA 98093-1255
Phone 253-945-8354 · Fax 253-945-8298
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All 15 Massage Therapist providers in Seatac · All 285 providers in Seatac
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