Individual
KENYA MARIE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3149 NE ANGELA AVE, BEND, OR 97701-8298
(541) 527-0613
Mailing address
3149 NE ANGELA AVE, BEND, OR 97701-8298
(541) 527-0613
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25180
OR
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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