Individual
KAILEE C CORPUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2564 NE COURTNEY DR, BEND, OR 97701-7638
(541) 678-5277
Mailing address
19675 POPLAR ST, BEND, OR 97702-9711
(541) 815-8185
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12798
OR
Other
Enumeration date
04/07/2017
Last updated
04/07/2017
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