NPI 1023403649

Kelley Schmautz, LMT

Practitioner Massage Therapist Gresham, OR

Practice location

Address: 1217 NE Burnside Rd Suite 701-D, Gresham, OR 97030-6722
Phone: (503) 665-8959
Mailing address: 34792 SE Compton Rd, Boring, OR 97009-8072

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 21289 (OR)

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Registry record

NPI: 1023403649
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Mar 2015
Record last updated: 31 Mar 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.