Andrea Thea Nicodemus, LMT25036
Andrea Thea Nicodemus, LMT25036 is a Massage Therapist in Eugene, Oregon. Licensed in Oregon. Registered with an NPI since 2021.
- Licensed in
- OR
- In the registry since
- 2021
Practice location Address checks out
1200 Executive Pkwy Ste 230Eugene, OR 97401-2365
Phone: (541) 232-2275
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence 25036 (OR) |
|---|
Record details
| NPI number | 1306503842 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LMT25036 |
| Sole proprietor | No |
| NPI enumerated | November 18, 2021 |
| Last updated in NPPES | November 18, 2021 |
| Certification date | November 18, 2021 |
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