Individual
LILITH MYOKI BRANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
31679 KLAMATH ST, BONANZA, OR 97623-3301
(541) 219-6189
Mailing address
31679 KLAMATH ST, BONANZA, OR 97623-3301
(541) 219-6189
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27986
OR
Other
Enumeration date
12/26/2025
Last updated
12/26/2025
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