Nick (Nicholas) Phillip Hawley-Gamer, LMT
Massage Therapist in Eugene, OR. Individual provider (NPI-1).
NPI number1962038703
StatusActive
Last updated in NPPESMar 12, 2020
Details
- NPI
- 1962038703
- Entity type
- Individual (NPI-1)
- Name
- Mr. Nick (Nicholas) Phillip Hawley-Gamer
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 12, 2020
- Certification date
- Mar 12, 2020
- Last updated
- Mar 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 25546 | OR | Yes |
Practice location
775 Monroe StEugene, OR 97402
Phone 541-762-2009 · Fax 541-762-0499
Mailing address
775 Monroe StEugene, OR 97402
Phone 541-762-2009 · Fax 541-762-0499
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