Individual
MS. KATHY SUE ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6250 COMMERCIAL ST SE, SALEM, OR 97306-1333
(503) 871-2233
Mailing address
302 MONROE CT NE, SALEM, OR 97301-4963
(503) 871-2233
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16405
OR
Other
Enumeration date
04/02/2012
Last updated
04/02/2012
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