Individual
AMY C KOWALSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2542 NE COURTNEY DR., BEND, OR 97701
(541) 241-2127
(541) 460-7854
Mailing address
56 SE 11TH ST, MADRAS, OR 97741
(541) 728-8453
(541) 460-7854
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
23966
OR
Other
Enumeration date
10/03/2018
Last updated
10/11/2024
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