Individual
MS. KATRINA SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
498 HARLOW RD STE 3, SPRINGFIELD, OR 97477-1339
(541) 341-1414
(541) 653-8570
Mailing address
498 HARLOW RD STE 3, SPRINGFIELD, OR 97477-1339
(541) 341-1414
(541) 653-8570
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21451
OR
Other
Enumeration date
02/17/2020
Last updated
03/24/2020
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