Individual
KIYA TENNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
529 SE GRAND AVE STE 300D, PORTLAND, OR 97214-2232
(503) 410-3013
Mailing address
5630 NE COUCH ST, PORTLAND, OR 97213-3728
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
WA
Other
Enumeration date
07/18/2018
Last updated
03/27/2024
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