Individual
LANDRA KAIA SKOVLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
507 S RIVER ST, ENTERPRISE, OR 97828-1601
(541) 426-4502
Mailing address
603 MEDICAL PKWY, ENTERPRISE, OR 97828-5124
(541) 426-4502
(541) 426-6403
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/26/2019
Last updated
12/26/2019
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