Organization
KNEADED BALANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTA DAHLSTROM LMT (MASSAGE THERAPIST/OWNER)
(504) 939-6922
Entity
Organization
Contact information
Practice address
8029 SW CIRRUS DR BLDG 21, BEAVERTON, OR 97008-5983
(503) 939-6922
(503) 371-7974
Mailing address
8965 SW 157TH AVE, BEAVERTON, OR 97007-6674
(503) 939-6922
(503) 371-7974
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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