Individual
NICHOLE BISKEBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, PTA
Contact information
Practice address
990 S FRONT ST, CENTRAL POINT, OR 97502-2727
(541) 601-4197
Mailing address
990 S FRONT ST, CENTRAL POINT, OR 97502-2727
(541) 601-4197
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26487
OR
Other
Enumeration date
12/21/2021
Last updated
12/21/2021
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