NICOLE DALLAS JUNE GATCHELL LMT NPI 1467588210

NPI Information

NPI: 1467588210
Provider Name: NICOLE DALLAS JUNE GATCHELL, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
105B W MAIN STE 101
PUYALLUP, WA
ZIP 98371
Phone: (253) 592-0606
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Nicole Dallas June Gatchell, LMT is a massage therapist in Puyallup, WA. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Nicole Dallas June Gatchell, LMT NPI is 1467588210. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

105B W MAIN STE 101
PUYALLUP, WA
ZIP 98371-329
Phone: (253) 592-0606
Fax: (253) 954-3030

The enumeration date for this NPI number is 2/26/2007 and was last updated on 4/30/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		MA00010209	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	LABOR & INDUSTRIES	OTHER	WASHINGTON	132868

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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