Individual
KERRY LYNN BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1010 NW HARRIMAN ST, BEND, OR 97703
(541) 868-7109
Mailing address
2020 NE LINNEA DR APT 162, BEND, OR 97701-4988
(541) 868-7109
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24353
OR
Other
Enumeration date
10/27/2017
Last updated
10/17/2018
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