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ANDREA THEA NICODEMUS LMT 25036
NPI 1306503842
Massage Therapist in Eugene, OR

Active since November 18, 2021
1200 EXECUTIVE PKWY STE 230, EUGENE, OR 97401(541) 232-2275 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrea Thea Nicodemus Lmt 25036 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA THEA NICODEMUS LMT 25036 (NPI 1306503842) is an individual massage therapist in Eugene, Oregon, licensed in Oregon (25036) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1306503842
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameANDREA THEA NICODEMUSCredential: LMT 25036
Location Address1200 EXECUTIVE PKWY STE 230Eugene, OR 97401-2365
Mailing Address2061 Dogwood DrEugene, OR 97405-5848 · (541) 606-1902
Phone(541) 232-2275
Sole ProprietorNo
Enumeration DateNovember 18, 2021
NPPES CertifiedNovember 18, 2021
✔ NPI 1306503842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in OR · 25036
Definition
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.
1200 EXECUTIVE PKWY STE 230, Eugene, OR 97401
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRITTANY LYNNE BURKE
Massage Therapist
1200 EXECUTIVE PKWY STE 230
EUGENE, OR 97401
Lane County (541) 636-3278
TRISTAN JOSEPH SODERBERG LMT
Massage Therapist
1200 EXECUTIVE PKWY STE 230
EUGENE, OR 97401
Lane County (541) 636-3278
WILLIAM SHANE SKINNER LMT
Massage Therapist
1200 EXECUTIVE PKWY STE 230
EUGENE, OR 97401
Lane County (541) 636-3278
NLM EUGENE LLC
Clinic/Center
1200 EXECUTIVE PKWY STE 230
EUGENE, OR 97401
Lane County (541) 636-3278
CASSANDRA MAE VENTRELLA LMT
Massage Therapist
1200 EXECUTIVE PKWY STE 230
EUGENE, OR 97401
Lane County (541) 636-3278
NEW LEAF HYPERBARICS EUGNENE
Clinic/Center
1200 EXECUTIVE PKWY STE 230
EUGENE, OR 97401
Lane County (541) 636-3278

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Nicodemus's NPI number?

The NPI number for Andrea Nicodemus is 1306503842. It was assigned to this individual provider in the NPPES registry on November 18, 2021.

Where is Andrea Nicodemus located?

Andrea Nicodemus practices at 1200 Executive Pkwy Ste 230, Eugene, OR 97401. The listed phone number is (541) 232-2275.

What is Andrea Nicodemus's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Andrea Nicodemus was last updated on November 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.