Individual
ASHLEY GRACE NICKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
233 2ND AVE S, OKANOGAN, WA 98840-9703
(509) 429-0096
Mailing address
233 2ND AVE S, OKANOGAN, WA 98840-9703
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
61196670
WA
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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