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Bruce Jarrod Kandle, LMT,MP
Massage Therapist in Weston, Oregon
NPI 1689059552

Bruce Jarrod Kandle is a Massage Therapist based in Weston, OR. Bruce Jarrod Kandle practices in Weston, OR and has the professional credentials of LMT,MP. The NPI Number for Bruce Jarrod Kandle is 1689059552 and holds a License No. MA 60563683 (Oregon).

The current practice location address for Bruce Jarrod Kandle is 77895 Lupine Ln, Weston, OR and can be reached out via phone at 541-566-2725.

Location: 77895 Lupine Ln, Weston, OR, 97886-6006
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689059552
Provider Name
Bruce Jarrod Kandle
Credential
LMT,MP
Provider Entity Type
Individual
Gender
Male
Address
77895 Lupine Ln, Weston, OR, 97886-6006
Phone Number
541-566-2725
Fax Number
Provider Enumeration Date
07/21/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MA60563683 01 WA MASSAGE THERAPIST
21472 01 OR MASSAGE THERAPIST
institution
Provider Business Practice Location Address Details
Address
77895 Lupine Ln
City
Weston
State
Oregon
Zip
97886-6006
Phone Number
541-566-2725
Fax Number
person
Provider Business Mailing Address Details
Address
77895 Lupine Ln
City
Weston
State
Oregon
Zip
97886-6006
Phone Number
541-566-2725
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA 60563683 (Washington)
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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