Individual
KAYLA RENAE BRINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
38706 PIONEER BLVD, SANDY, OR 97055-8008
(419) 551-1755
Mailing address
38131 SE SERBAN RD, SANDY, OR 97055-7541
(419) 551-1755
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24080
OR
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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