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Individual
SUSIE BURNS
Active
Individual
SUSIE BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, NKT
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16722
OR
226300000X
Kinesiotherapist
16722
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16722
OREGON BOARD OF MASSAGE THERAPISTS
OR
01
—
836868
ASSOCIATED BODYWORK & MASSAGE PEOFESSIONALS
OR
Enumeration date
02/04/2011
Last updated
02/13/2011
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