Individual
KATRINA A COOKSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
23735 HIGHWAY 20, PHILOMATH, OR 97370-9611
(541) 637-9837
Mailing address
23735 HIGHWAY 20, PHILOMATH, OR 97370-9611
(541) 637-9837
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19832
OR
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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