Individual
MISS KRISTY LEE LEMMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
170 C ST, INDEPENDENCE, OR 97351-2044
(503) 480-5457
Mailing address
170 C ST, INDEPENDENCE, OR 97351-2044
(503) 480-5457
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14718
OR
Other
Enumeration date
02/24/2009
Last updated
07/16/2011
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