NPI 1114174455

Kristel Eden Wonderly

Practitioner Reflexologist Salem, OR

Practice location

Address: 3276 Commercial St SE, Salem, OR 97302-4584
Phone: (503) 749-2199
Mailing address: 1945 Garfield St NE, Salem, OR 97301-8153

Registered specialties

Reflexologist Primary

Other Service Providers Taxonomy 173C00000X Licence 11433 (OR)

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Registry record

NPI: 1114174455
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Aug 2008
Record last updated: 19 Aug 2008

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.