Individual
DANIELLE KRAUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CHES
Contact information
Practice address
52384 BARBERRY CIR, LA PINE, OR 97739-9558
(315) 532-7689
Mailing address
52384 BARBERRY CIR, LA PINE, OR 97739-9558
(315) 532-7689
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24586
OR
Other
Enumeration date
12/18/2019
Last updated
10/22/2020
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