Individual
KELLY CORMIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
446 E MAIN ST STE A, HILLSBORO, OR 97123
(503) 992-6371
Mailing address
6635 SW 175TH AVE, ALOHA, OR 97007-4783
(458) 207-0207
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/15/2018
Last updated
01/27/2019
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