Individual
MRS. KRISTEN A HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
258 A ST STE 21, ASHLAND, OR 97520-1947
(541) 301-7040
Mailing address
2000 COLESTIN RD, ASHLAND, OR 97520-8726
(303) 829-3055
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21372
OR
Other
Enumeration date
09/25/2017
Last updated
09/25/2017
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