Individual
MRS. NICOLE JOSETTE RYCKENBUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
502 WHITEAKES, COTTAGE GROVE, OR 97424
(541) 542-9469
Mailing address
502 WHITEAKES, CENTER FOR MASSAGE THERAPY, COTTAGE GROVE, OR 97424
(541) 542-9469
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2570
OR
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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