IndividualActive
Nichelle Madison
NPI 1710596234 · Massage Therapist · Ruston, WA
Provider details
- NPI number
- 1710596234
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 61041341 (WA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4901 N Pearl St
Ruston, WA 98407-3119
Phone: (253) 370-8671
Approximate (ZIP-level) locationGet directions
Mailing address
4901 N Pearl St
Ruston, WA 98407-3119
Registry dates
- Enumerated
- 2020-07-30
- Last updated
- 2020-07-30
- Certified
- 2020-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.