Individual
KATRINA MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
31 NW GREELEY AVE, BEND, OR 97703-2911
(541) 610-2767
Mailing address
443 NE CLAY AVE APT 1, BEND, OR 97701-5168
(541) 610-2767
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19223
OR
Other
Enumeration date
02/03/2020
Last updated
11/23/2021
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