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Mrs. Audrey Jean Kolb, LMT
Massage Therapist in Gresham, Oregon
NPI 1598034092

Audrey Jean Kolb is a Massage Therapist based in Portland, OR. Audrey Jean Kolb practices in Gresham, OR and has the professional credentials of LMT. The NPI Number for Audrey Jean Kolb is 1598034092 and holds a License No. 16306 (Oregon).

The current practice location address for Audrey Jean Kolb is 790 E Powell Blvd, Gresham, OR and can be reached out via phone at 503-970-0147 and via fax at 503-618-0148.

Location: 790 E Powell Blvd, Gresham, OR, 97213-5722
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598034092
Provider Name
Audrey Jean Kolb
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
790 E Powell Blvd, Gresham, OR, 97213-5722
Phone Number
503-970-0147
Fax Number
503-618-0148
Provider Enumeration Date
12/29/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
790 E Powell Blvd
City
Gresham
State
Oregon
Zip
97030-7616
Phone Number
503-970-0147
Fax Number
503-618-0148
person
Provider Business Mailing Address Details
Address
790 E Powell Blvd
City
Gresham
State
Oregon
Zip
97030-7616
Phone Number
503-970-0147
Fax Number
503-618-0148
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
16306 (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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