Individual
KYLAR A DUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1151 SE OAR AVE, LINCOLN CITY, OR 97367-2442
(541) 971-7043
Mailing address
1151 SE OAR AVE, LINCOLN CITY, OR 97367-2442
(541) 971-7043
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12825
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12825
MASSAGE THERAPY LICENSE
OR
Enumeration date
09/19/2022
Last updated
09/19/2022
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