Individual
MS. NATASHA LIEDKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2515 CROSBY AVE, KLAMATH FALLS, OR 97603-4553
(503) 798-5690
(541) 273-6279
Mailing address
2515 CROSBY AVE, KLAMATH FALLS, OR 97603-4553
(503) 798-5690
(541) 273-6279
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19074
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19074
LMT
OR
Enumeration date
09/15/2014
Last updated
08/05/2016
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