NICHOLAS ALVIN BERGEN NPI 1871779991

NPI Information

NPI: 1871779991
Provider Name: NICHOLAS ALVIN BERGEN
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
15412 E SPRAGUE AVE STE 17
SPOKANE VALLEY, WA
ZIP 99037
Phone: (509) 443-3117
Get Directions

Nicholas Alvin Bergen is a massage therapist in Spokane Valley, 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. Nicholas Alvin Bergen NPI is 1871779991. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

15412 E SPRAGUE AVE STE 17
SPOKANE VALLEY, WA
ZIP 99037-841
Phone: (509) 443-3117

The enumeration date for this NPI number is 1/18/2008 and was last updated on 12/8/2008.

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		MA00024715	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	MA00024715	OTHER	WASHINGTON	STATE LICENSE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »