Julie Kornilkin, LICENSED MASSAGE THE

NPI #1285985002 in Molalla, Oregon

Provider Information

NPI Number: 1285985002
Entity Type: Individual
Name: Julie Kornilkin, LICENSED MASSAGE THE
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LICENSED MASSAGE THE
Enumeration Date: Sep 20, 2012
Last Updated: Sep 20, 2012

Practice Location

Address: 9021 S. GIBSON RD.
Address 2: BLDG. B
City: Molalla
State: Oregon
ZIP Code: 97038
Phone: (503) 951-7082

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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