Individual
KELLIE HOFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
371 SW UPPER TERRACE DR STE 2, BEND, OR 97702-1560
(541) 678-0010
Mailing address
371 SW UPPER TERRACE DR STE 2, BEND, OR 97702-1560
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-25604
OR
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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