Provider Demographics
NPI:1073227138
Name:ARMITSTEAD, NICOLET IRENE HELLER (LMT)
Entity type:Individual
Prefix:
First Name:NICOLET
Middle Name:IRENE HELLER
Last Name:ARMITSTEAD
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 213
Mailing Address - Street 2:
Mailing Address - City:SNOQUALMIE PASS
Mailing Address - State:WA
Mailing Address - Zip Code:98068-0213
Mailing Address - Country:US
Mailing Address - Phone:509-850-9710
Mailing Address - Fax:
Practice Address - Street 1:101 W MONTANA AVE
Practice Address - Street 2:
Practice Address - City:ROSLYN
Practice Address - State:WA
Practice Address - Zip Code:98941
Practice Address - Country:US
Practice Address - Phone:509-850-9710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-12
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist