Individual
KATELIN KUTELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1222 SE DIVISION ST, PORTLAND, OR 97202-1017
(503) 231-9879
Mailing address
1222 SE DIVISION ST, PORTLAND, OR 97202
(503) 231-9879
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20851
OR
Other
Enumeration date
09/26/2014
Last updated
07/21/2022
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