Provider Demographics
NPI:1114938347
Name:NASSOIY, AIMEE (LMP)
Entity Type:Individual
Prefix:
First Name:AIMEE
Middle Name:
Last Name:NASSOIY
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 FARM RD
Mailing Address - Street 2:
Mailing Address - City:LOPEZ ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98261-8243
Mailing Address - Country:US
Mailing Address - Phone:360-468-2493
Mailing Address - Fax:
Practice Address - Street 1:33 WEEKS RD.LOPEZ MASSAGEWORKS
Practice Address - Street 2:LOPEZ PLAZA BUILDING
Practice Address - City:LOPEZ ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98261
Practice Address - Country:US
Practice Address - Phone:360-468-3239
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00001111225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist