Individual
KATIE M KAHLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1316 NE HIGHWAY 99W, MCMINNVILLE, OR 97128-2723
(503) 577-0591
Mailing address
1316 NE HIGHWAY 99W, MCMINNVILLE, OR 97128-2723
(503) 577-0591
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
OR
225700000X
Massage Therapist
Primary
13299
OR
Other
Enumeration date
04/17/2007
Last updated
04/17/2020
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