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Kelly Krug, LMT
Massage Therapist in Portland, Oregon
NPI 1841881968

Kelly Krug is a Massage Therapist based in Portland, OR. Kelly Krug practices in Portland, OR and has the professional credentials of LMT. The NPI Number for Kelly Krug is 1841881968 and holds a License No. 24445 (Oregon).

The current practice location address for Kelly Krug is 9129 Ne Glisan St, Portland, OR and can be reached out via phone at 608-397-6821.

Location: 9129 Ne Glisan St, Portland, OR, 97220-5865
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Provider Profile Details
NPI Number
1841881968
Provider Name
Kelly Krug
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
9129 Ne Glisan St, Portland, OR, 97220-5865
Phone Number
608-397-6821
Fax Number
Provider Enumeration Date
02/01/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
24445 01 OR LMT
institution
Provider Business Practice Location Address Details
Address
9129 Ne Glisan St
City
State
Zip
97220-5865
Phone Number
608-397-6821
Fax Number
person
Provider Business Mailing Address Details
Address
9129 Ne Glisan St
City
State
Zip
97220-5865
Phone Number
608-397-6821
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
24445 (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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