Individual
KIMBERLY GARLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1826 LANCASTER DR NE, SALEM, OR 97305-1023
(503) 580-8927
Mailing address
PO BOX 20312, KEIZER, OR 97307-0312
(503) 580-8927
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19001
OR
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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