Lieta Kathleen Taysom, LMT

NPI #1912319203 in Klamath Falls, Oregon

Provider Information

NPI Number: 1912319203
Entity Type: Individual
Name: Lieta Kathleen Taysom, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: May 21, 2014
Last Updated: May 21, 2014

Practice Location

Address: 1775 WASHBURN WAY
Address 2: SUITE A.
City: Klamath Falls
State: Oregon
ZIP Code: 97603-4304
Phone: (541) 887-2507

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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