Landra Kaia Skovlin, LMT

NPI #1518506351 in Enterprise, Oregon

Provider Information

NPI Number: 1518506351
Entity Type: Individual
Name: Landra Kaia Skovlin, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Dec 26, 2019
Last Updated: Dec 26, 2019

Practice Location

Address: 507 S RIVER ST
City: Enterprise
State: Oregon
ZIP Code: 97828-1601
Phone: (541) 426-4502

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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