Individual
LIETA KATHLEEN TAYSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1775 WASHBURN WAY, SUITE A., KLAMATH FALLS, OR 97603-4304
(541) 887-2507
(541) 887-2508
Mailing address
PO BOX 8051, YAKIMA, WA 98908-0051
(509) 469-1903
(509) 469-1903
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20367
OR
Other
Enumeration date
05/21/2014
Last updated
05/21/2014
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