Individual
CHESLEY LORRAINE TILLBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1225 HILTON DR, KLAMATH FALLS, OR 97603-5254
(941) 539-3620
Mailing address
1225 HILTON DR, KLAMATH FALLS, OR 97603-5254
(941) 539-3620
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24423
OR
Other
Enumeration date
07/19/2020
Last updated
07/19/2020
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