Individual
KATHLEEN MARY ARENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6018 SE STARK ST STE 103, VITAL HEALTH AND WELLNESS, PORTLAND, OR 97215
(503) 808-9145
(503) 473-8085
Mailing address
7027 N. VILLARD AVE, PORTLAND, OR 97217
(503) 729-4273
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16872
OR
225700000X
Massage Therapist
MA 60213785
WA
Other
Enumeration date
11/09/2010
Last updated
08/08/2012
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