Individual
MRS. LAURI KISOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA, LMT
Contact information
Practice address
2213 SW 34TH ST, REDMOND, OR 97756-8072
(541) 579-0164
Mailing address
2213 SW 34TH ST, REDMOND, OR 97756-8072
(541) 579-0164
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21331
OR
Other
Enumeration date
09/01/2015
Last updated
01/11/2017
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