Individual
KIMBERLY A SKOMERZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
945 DAHLIA TER, EAGLE POINT, OR 97524-3402
(541) 621-2091
Mailing address
945 DAHLIA TER, EAGLE POINT, OR 97524-3402
(541) 621-2091
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18342
OR
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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