Individual
MS. KYLA MARIE LUDINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3734 NE PETROSA AVE, BEND, OR 97701-3995
(206) 595-7068
Mailing address
3734 NE PETROSA AVE, BEND, OR 97701-3995
(206) 595-7068
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
225700000X
Massage Therapist
MA60553320
WA
Other
Enumeration date
06/05/2017
Last updated
03/14/2024
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