Individual
KINDY GREGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
615 SW EVERGREEN AVE, SUITE 3B, REDMOND, OR 97756-2254
(541) 771-5846
Mailing address
4810 NE VAUGHN AVE, TERREBONNE, OR 97760-9668
(541) 771-5846
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20631
OR
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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