Individual
LIBBY ANN KALKOSKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1129 SW 12TH ST, REDMOND, OR 97756-3021
(541) 903-0894
Mailing address
1129 SW 12TH ST, REDMOND, OR 97756-3021
(541) 903-0894
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19864
OR
Other
Enumeration date
06/10/2011
Last updated
06/20/2016
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