Individual
MRS. KATHRYN DIANNE RATHBURN CHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1741 SLEEPY HOLLOW LOOP, GRANTS PASS, OR 97527-9562
(541) 660-4065
Mailing address
1741 SLEEPY HOLLOW LOOP, GRANTS PASS, OR 97527-9562
(541) 660-4065
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15484
OR
Other
Enumeration date
09/26/2008
Last updated
09/26/2008
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