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Contact Information

MARY A NICHOLS, LMP, CMMP
195 - 1ST PLACE N.W.
ISSAQUAH, WA98027
 Phone: 425-736-7630
 Fax: 425-391-1174
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mechanotherapist

172M00000X
Indicates primary specialty

NPI Profile & details for MARY A NICHOLS · (Female)

NPI Number 1144553074
Status Active
Credentials LMP, CMMP
Entity Individual
Enumeration date 09/10/2009
Last updated 09/10/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # MA00014204
  • WA Other 0141608 DEPT. OF L & I
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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