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Individual

KELSIE BACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
9895 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-5740
(503) 653-0400
(503) 653-5146
Mailing address
9895 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-5740
(503) 653-0400
(503) 653-5146

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11855
OR

Other

Enumeration date
03/23/2011
Last updated
03/23/2011
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