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Individual

MICHELLE DESJARLAIS KISTLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
208 OAK ST STE 304, ASHLAND, OR 97520-1872
(541) 292-8505
Mailing address
215 MOBILE DR, ASHLAND, OR 97520-9021
(541) 292-8505
(541) 482-3364

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1922
OR

Other

Enumeration date
11/16/2009
Last updated
11/20/2025
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