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Kathryn Chassereau, LMT
Specialist in Gold Beach, Oregon
NPI 1104251727

Kathryn Chassereau is a Specialist based in Gold Beach, OR. Kathryn Chassereau practices in Gold Beach, OR and has the professional credentials of LMT. The NPI Number for Kathryn Chassereau is 1104251727 and holds a License No. 15866 (Oregon).

The current practice location address for Kathryn Chassereau is 29846 Ellensburg Ave, Gold Beach, OR and can be reached out via phone at 541-698-8409 and via fax at 541-247-9509.

Location: 29846 Ellensburg Ave, Gold Beach, OR, 97444-0650
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104251727
Provider Name
Kathryn Chassereau
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
29846 Ellensburg Ave, Gold Beach, OR, 97444-0650
Phone Number
541-698-8409
Fax Number
541-247-9509
Provider Enumeration Date
09/13/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
15866 01 OR MASSAGE LICENSE
institution
Provider Business Practice Location Address Details
Address
29846 Ellensburg Ave
City
Gold Beach
State
Oregon
Zip
97444-0650
Phone Number
541-698-8409
Fax Number
541-247-9509
person
Provider Business Mailing Address Details
Address
29846 Ellensburg Ave
City
Gold Beach
State
Oregon
Zip
97444-0650
Phone Number
541-698-8409
Fax Number
541-247-9509
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
15866 (Oregon)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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