Individual
BEATRIZ KAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
2330 NE DIVISION ST, STE. 8, BEND, OR 97703-3530
(458) 206-9647
Mailing address
63099 FAIREY CT, BEND, OR 97701-7810
(458) 206-9647
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20068
OR
Other
Enumeration date
05/06/2014
Last updated
02/27/2017
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