Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY L NICKERSON, LMP
Active Sole ProprietorSTACEY L NICKERSON, LMP is a Massage Therapist healthcare provider located in VANCOUVER, Washington. NPI 1144544123 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · VANCOUVER, WA
Registration Details
- NPI Number
- 1144544123
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 20, 2010 (16.39003330547 yrs)
- Last Updated
- Mar 20, 2010
- License
-
MA00021266 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3000 SE 164TH AVESTE # 102VANCOUVER, WA, 986839314Browse WA providers · Browse ZIP 98683
- Phone
- 3608966037
- Fax
- 3609440144
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in VANCOUVER, WA
| Name | Credential | NPI |
|---|---|---|
| LANA DICKSON | — | 1447219175 |
| VALERIE B. ORR | LMP; LCSW | 1821056748 |
| JEFFREY M HERD | LMP | 1427006204 |
| ALICIA KATHERINE JACOBY | LMP | 1508814187 |
| KAREN S KESSLER | LMP | 1720039894 |
| MS. ANNA M PETRUOLO | LMP | 1255384764 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.