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

Mrs. Tammy Ann Nicodemus, LMT

Individual provider Massage Therapist · NPI 1760539092

Mrs. Tammy Ann Nicodemus, LMT is a Massage Therapist in Sandy, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2007
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Practice location Address checks out

38916 Proctor Blvd
Sandy, OR 97055
Phone: (503) 668-3530
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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 11824 (OR)

Record details

NPI number1760539092
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedJanuary 5, 2007
Last updated in NPPESJuly 8, 2007

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