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

Nicole Renee McKibben, LMT

Individual provider Massage Therapist · NPI 1558518779

Nicole Renee McKibben, LMT is a Massage Therapist in Dallas, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2008
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

140 SE Mill St
Dallas, OR 97338-1908
Phone: (037) 878-0695
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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 8227 (OR)

Record details

NPI number1558518779
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedAugust 19, 2008
Last updated in NPPESOctober 3, 2024
Certification dateOctober 3, 2024

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