Most Relevant Information
Provider Data
| NPI Number: | 1003419870 |
| Provider Name: | NICOLE ARLENE LOPEZ LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MA61380495 |
Most Important Dates
| Enumeration Date: | 11/16/2020 |
| Last Updated: | 04/25/2023 |
Provider Practice Location
710 5TH AVE NW STE 300
ISSAQUAH
WA
980272845
Practice Location Phone/Fax
| Phone: | 4259986542 |
| Fax: |
Provider Mailing Location
27777 INKSTER RD STE 100
FARMINGTON HILLS
MI
483345312
Provider Mailing Phone/Fax
| Phone: | 2484364400 |
| Fax: |