Nicole Shanon Arnold
Individual provider Active NPI Massage Therapist · Vancouver, WA
NPI 1437420577 · NPPES record last updated Jan 20, 2012
Key facts
- NPI
- 1437420577
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA60238022 (WA)
- Practice address
- 16305 NE 38TH St
Vancouver, WA 98682-3601 - Phone
- (360) 213-3202
- NPI assigned
- Jan 20, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA60238022 | WA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60238022 | WA | Yes |
Addresses
Primary practice location
16305 NE 38TH St
Vancouver, WA 98682-3601
Mailing address
16305 NE 38TH St
Vancouver, WA 98682-3601
Other providers in Vancouver, WA
- Tracy O'Donnell Arney
- Shanna M Arno
- Susan Arnold-Edgar
- Blake Arnold
- Lindsay J Arnold
- Ryan Arnold
- Sherrie Evans Arnold
- Gordon M Arnott
- Zoe Kristene Arnsmeier
- Kristen Lyn Arntzen
All providers in Vancouver, WA · Massage Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.