Amy Nicole Weddle in Portland - Massage Therapist
Amy Nicole Weddle - NPI 1043425655
Amy Nicole Weddle is a Massage Therapist in Portland, Oregon. Amy Nicole Weddle practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Amy Nicole Weddle is 1043425655. The last update date is 2007-07-08.
Amy Nicole Weddle's current location address is 4930 Sw 1st Ave, Portland, Oregon. You can contact this provider via phone number 5035451066. The mailing address for Amy Nicole Weddle is 4930 Sw 1st Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amy Nicole Weddle |
|---|---|
| Address | 4930 Sw 1st Ave, Portland, Oregon |
| Phone Number | 5035451066 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMT |
NPI Number Detail
| NPI Number | 1043425655 |
|---|---|
| Provider Enumeration Date | 2007-05-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4930 Sw 1st Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972392883 |
| Phone Number | 5035451066 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | 13880 |
|
Definition: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
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What is the unique 10-digit identifier code issued to Amy Nicole Weddle by the Centers for Medicare & Medicaid Services?
The Amy Nicole Weddle has been assigned the NPI (National Provider Identifier) 1043425655 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Amy Nicole Weddle is located?
The Amy Nicole Weddle is situated at the following address: 4930 Sw 1St Ave, Portland, OR, 972392883.
What is Amy Nicole Weddle's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Amy Nicole Weddle is Massage Therapist, and the corresponding taxonomy classification code for this specialized field is 225700000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1043425655 to Amy Nicole Weddle?
The Centers for Medicare & Medicaid Services assigned the 1043425655 to Amy Nicole Weddle on 2007-05-14.
When was the information pertaining to Amy Nicole Weddle most recently updated or revised?
The details related to Amy Nicole Weddle, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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