Individual
MISS KATIE L MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
821 ELM ST SW, ALBANY, OR 97321
(541) 928-5590
(541) 924-9943
Mailing address
821 ELM ST SW, ALBANY, OR 97321
(541) 928-5590
(541) 924-9943
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18304
OR
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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