Individual
KAITLIN ANNA MILKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
628 NW YORK DR STE 205, BEND, OR 97703-1572
(541) 728-3911
Mailing address
1045 NW LEXINGTON AVE, BEND, OR 97703-2232
(440) 412-9099
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27093
OR
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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