Individual
DUSTY V KURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
516 S TRADE ST STE 105, AMITY, OR 97101-1500
(503) 985-9417
Mailing address
1141 SE RUMMEL ST, MCMINNVILLE, OR 97128-6364
(503) 985-9417
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15586
OR
Other
Enumeration date
09/17/2012
Last updated
10/15/2019
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