Kalesh Weaver, LMT

NPI #1114274685 in Talent, Oregon

Provider Information

NPI Number
1114274685
Entity Type
Individual
Name
Kalesh Weaver, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LMT
Enumeration Date
Aug 14, 2012
Last Updated
Aug 14, 2012

Practice Location

Address
7676 ADAMS RD
City
Talent
State
Oregon
ZIP Code
97540-7839
Phone
(541) 535-3890

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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