Individual
KYNDRA BLACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
115 W 8TH AVE STE 200, EUGENE, OR 97401-2973
(541) 343-4343
Mailing address
115 W 8TH AVE STE 200, EUGENE, OR 97401-2973
(541) 343-4343
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-24857
OR
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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