Individual
KATHLEEN SIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1690 ROGUE RIVER HWY, GRANTS PASS, OR 97527
(541) 226-7758
Mailing address
942 SW COTTONWOOD ST, GRANTS PASS, OR 97526-5823
(541) 955-8613
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12422
OR
Other
Enumeration date
08/28/2007
Last updated
08/28/2007
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