Organization
KIRSTIN J SCHUMAKER
Active
Other names
Agile Body Structural Integration
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTIN SCHUMAKER L.M.T (OWNER)
(503) 720-7403
Entity
Organization
Contact information
Practice address
2455 NW MARSHALL ST, SUITE 11A, PORTLAND, OR 97210-3159
(503) 720-7403
Mailing address
2455 NW MARSHALL ST, SUITE 11A, PORTLAND, OR 97210-3159
(503) 720-7403
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
6582
OR
Other
Enumeration date
11/07/2009
Last updated
02/01/2016
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