Individual
EMILY KOZIATEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1245 CHARNELTON ST STE 6, EUGENE, OR 97401-6206
(541) 232-2992
Mailing address
467 RIVER RD, EUGENE, OR 97404-3210
(541) 232-2992
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16336
OR
Other
Enumeration date
02/07/2011
Last updated
02/07/2011
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