NPI 1386973121
Jennifer Nicohle Davis, LMT
Practice location
- Address
- 11950 SE 147th Ave STE 105, Happy Valley, OR 97086-3820
- Phone
- (360) 739-9205
- Mailing address
- 11950 SE 147th Ave, Happy Valley, OR 97086-3820
Registered specialties
Massage Therapist
Primary
Registry record
- NPI
- 1386973121
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 7 Dec 2009
- Record last updated
- 11 Jan 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.