Individual
MS. KATHERYNN ANGELA WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8519 SE HINKLEY AVE, HAPPY VALLEY, OR 97086-3617
(503) 771-2952
Mailing address
8519 SE HINKLEY AVE, HAPPY VALLEY, OR 97086-3617
(503) 771-2952
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14520
OR
225700000X
Massage Therapist
MA60060119
WA
Other
Enumeration date
01/30/2010
Last updated
01/30/2010
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