Individual
KELLEY ROTHENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
212 E B ST, RAINIER, OR 97048-2667
(503) 366-8084
Mailing address
124 S 9TH ST, SAINT HELENS, OR 97051-1905
(503) 729-4117
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8282
OR
Other
Enumeration date
01/12/2009
Last updated
10/12/2012
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