Individual
KERSEY D FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT 29571
Contact information
Practice address
1016 SE 12TH AVE OFC 7, PORTLAND, OR 97214-2513
(509) 531-3449
Mailing address
3721 SE 13TH AVE APT 3, PORTLAND, OR 97202-3863
(509) 531-3449
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
29571
OR
Other
Enumeration date
03/11/2026
Last updated
03/11/2026
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