MRS. TAMMY ANN NICODEMUS L.M.T.
NPI 1760539092
Massage Therapist in Sandy, OR

Active since January 05, 2007
38916 PROCTOR BLVD, SANDY, OR 97055(503) 668-3530 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Tammy Ann Nicodemus L.m.t. NPPES

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

MRS. TAMMY ANN NICODEMUS L.M.T. (NPI 1760539092) is an individual massage therapist in Sandy, Oregon, licensed in Oregon (11824) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1760539092
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMRS. TAMMY ANN NICODEMUSCredential: L.M.T.
Location Address38916 PROCTOR BLVDSandy, OR 97055
Mailing AddressPo Box 202Eagle Creek, OR 97022-0202 · (503) 709-7187
Sole ProprietorYes
Enumeration DateJanuary 5, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1760539092 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 · 11824
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.

38916 PROCTOR BLVD, Sandy, OR 97055

Other Providers at the Same Location NPPES

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

Chiropractor (Sports Physician)
38916 PROCTOR BLVD
SANDY, OR 97055

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 Tammy Nicodemus's NPI number?

The NPI number for Tammy Nicodemus is 1760539092. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Where is Tammy Nicodemus located?

Tammy Nicodemus practices at 38916 Proctor Blvd, Sandy, OR 97055. The listed phone number is (503) 668-3530.

What is Tammy 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 Tammy Nicodemus was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.