Individual
LEANNA KAYLEEN GUERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
849 NE 7TH ST, GRANTS PASS, OR 97526-1634
(541) 916-8585
Mailing address
491 OXYOKE RD, GRANTS PASS, OR 97526-8732
(541) 218-4735
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-22468
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LMT-22468
OREGON BOARD OF MASSAGE THERAPY
OR
Enumeration date
10/22/2018
Last updated
05/30/2019
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