Individual
ANN NICOLAYSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
315 1ST AVE W, STE. A, SEATTLE, WA 98119-4156
(206) 281-4282
(206) 285-6854
Mailing address
315 1ST AVE W, STE. A, SEATTLE, WA 98119-4156
(206) 281-4282
(206) 285-6854
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00006195
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
67669
LABOR & INDUSTIES
WA
01
—
NI5136
REGENCE BLUESHIELD
WA
Enumeration date
05/16/2007
Last updated
07/08/2007
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