Individual
KATIE DUVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4783 SW HIGHWAY 101, LINCOLN CITY, OR 97367-1564
(541) 994-1819
Mailing address
920 N RIVER BEND RD, OTIS, OR 97368-9768
(541) 921-8855
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24814
OR
Other
Enumeration date
05/27/2019
Last updated
05/27/2019
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