Individual
AMANDA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1435 E MAIN ST, KLAMATH FALLS, OR 97601-3407
(541) 331-8171
Mailing address
1755 IVORY ST, KLAMATH FALLS, OR 97603-4940
(541) 331-8171
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24562
OR
Other
Enumeration date
04/04/2019
Last updated
04/04/2019
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