Individual
KORI GUNTLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
156 CHEMAWA RD N, KEIZER, OR 97303-5356
(503) 999-5960
Mailing address
510 SE LACREOLE DR, DALLAS, OR 97338-1642
(503) 999-5960
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
29351
OR
Other
Enumeration date
02/27/2026
Last updated
02/27/2026
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