Individual
KELLY A GAUDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
280 E HERSEY ST # B-17, ASHLAND, OR 97520-1293
(541) 482-5134
Mailing address
880 PEROZZI ST, ASHLAND, OR 97520-1109
(707) 498-5141
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24736
OR
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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