Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ivy Atisa Nanigans, LMT

Individual provider Massage Therapist · NPI 1417708447

Ivy Atisa Nanigans, LMT is a Massage Therapist in Vancouver, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2024
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

1508 Broadway St
Vancouver, WA 98663-3434
Phone: (360) 635-3477
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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 61511736 (WA)

Record details

NPI number1417708447
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedMarch 28, 2024
Last updated in NPPESMarch 28, 2024
Certification dateMarch 28, 2024

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