Individual
KERI LYNN GARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
39 NW LOUISIANA AVE, BEND, OR 97703-3310
(541) 330-0334
Mailing address
61618 SUMMER SHADE DR, BEND, OR 97702-2014
(458) 256-1021
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
23936
OR
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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