| Doctor Name: | EVA MARIE NIELSEN |
| NPI Number: | 1346562931 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | MA 60021403 |
| Business Practice Address: | 23303 Hwy 99 Ste G Edmonds, WA - 980268762 |
| Business Phone Number: | 4256975188 |
| Business Fax Number: | 4256731928 |
| Mailing Address: | 5304 228th St Sw, MOUNTLAKE TERRACE |
| State: | WA |
| Postal Code: | 980433933 |
| Phone Number: | 4257442335 |
| Fax Number: | |
| NPI Enumeration Date: | 02/23/2010 |
| NPI Last Update Date: | 02/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225700000X |
| License Number: | MA 60021403 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Massage Therapist |
| Taxonomy Specialization: | |
| Taxonomy 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. |