Individual
KELLEY SCHMAUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1217 NE BURNSIDE RD, SUITE 701-D, GRESHAM, OR 97030-6722
(503) 665-8959
Mailing address
34792 SE COMPTON RD, BORING, OR 97009-8072
(971) 235-4466
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21289
OR
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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