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Kate Kelly, LMT
Massage Therapist in Portland, Oregon
NPI 1275042673

Kate Kelly is a Massage Therapist based in Portland, OR. Kate Kelly practices in Portland, OR and has the professional credentials of LMT. The NPI Number for Kate Kelly is 1275042673 and holds a License No. 22806 (Oregon).

The current practice location address for Kate Kelly is 3934 Ne Mlk Blvd Ste 108, Portland, OR and can be reached out via phone at 503-381-1380.

Location: 3934 Ne Mlk Blvd Ste 108, Portland, OR, 97211-3416
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Provider Profile Details
NPI Number
1275042673
Provider Name
Kate Kelly
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
3934 Ne Mlk Blvd Ste 108, Portland, OR, 97211-3416
Phone Number
503-381-1380
Fax Number
Provider Enumeration Date
09/28/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
22806 01 OR LMT
institution
Provider Business Practice Location Address Details
Address
3934 Ne Mlk Blvd Ste 108
City
State
Zip
97212-1153
Phone Number
503-381-1380
Fax Number
person
Provider Business Mailing Address Details
Address
3934 Ne Mlk Blvd Ste 108
City
State
Zip
97212-1153
Phone Number
503-381-1380
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
22806 (Oregon)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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