NICOLETTE MARIE PENLEY LMT, CA
NPI 1114608866
Massage Therapist in The Dalles, OR

Active since July 26, 2023
100 E 2ND ST, THE DALLES, OR 97058(541) 900-5400 Get Directions Write a Review

NPPES record last updated: July 26, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Massage Therapist

About NICOLETTE PENLEY

This page provides the complete NPI Profile along with additional information for Nicolette Penley, a provider established in The Dalles, Oregon with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1114608866 assigned on July 2023. The practitioner's primary taxonomy code is 225700000X with license number 27740 (OR). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1114608866 Verify this NPI
Provider Name
NICOLETTE MARIE PENLEY LMT, CA
Other Name
NICOLETTE MARIE PENLEY
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
100 E 2ND ST THE DALLES, OR 97058
Location Phone
(541) 900-5400
Mailing Address
1611 NEVADA ST THE DALLES, OR 97058
Mailing Phone
(775) 843-0220
Is Sole Proprietor?
No
Enumeration Date
07-26-2023
Last Update Date
07-26-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Massage Therapist

Taxonomy Code
225700000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
27740
License State
OR
Taxonomy Description
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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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Massage Therapist
100 E 2ND ST
THE DALLES, OR 97058
Massage Therapist
100 E 2ND ST
THE DALLES, OR 97058

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114608866, enumerated as an "individual" on July 26, 2023.

The provider is located at 100 E 2ND ST THE DALLES, OR 97058 and the phone number is (541) 900-5400.

Massage Therapist with taxonomy code 225700000X.