Individual
KYLEIGH MCVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
999 SW DISK DR, BEND, OR 97702
(541) 639-8911
Mailing address
999 SW DISK DR, BEND, OR 97702-3061
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24512
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24512
LICENSED MASSAGE THERAPIST
OR
Enumeration date
07/21/2018
Last updated
06/11/2019
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