Katharine Leilani Suppan, LMT

NPI #1871909325 in Newberg, Oregon

Provider Information

NPI Number: 1871909325
Entity Type: Individual
Name: Katharine Leilani Suppan, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jul 5, 2014
Last Updated: Jul 5, 2014

Practice Location

Address: 21440 SW WILDFLOWER DR
City: Newberg
State: Oregon
ZIP Code: 97132-9401
Phone: (971) 533-3508

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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