Individual
KYLIE REED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
551 LONE PINE BLVD, THE DALLES, OR 97058-9403
(541) 506-5788
Mailing address
713 E 21ST PL, THE DALLES, OR 97058-2845
(541) 340-9270
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20071
OR
Other
Enumeration date
01/08/2014
Last updated
03/12/2014
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