Individual
MRS. KAYLA RENEA SPICER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8695 SW JACK BURNS BLVD STE E, WILSONVILLE, OR 97070-5797
(503) 427-2698
Mailing address
530 NE 10TH AVE, CANBY, OR 97013-2905
(503) 310-2094
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16511
OR
Other
Enumeration date
10/02/2009
Last updated
07/01/2015
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