Kelley Rothenberger, LMT

NPI #1922245000 in Rainier, Oregon

Provider Information

NPI Number: 1922245000
Entity Type: Individual
Name: Kelley Rothenberger, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jan 12, 2009
Last Updated: Oct 12, 2012

Practice Location

Address: 212 E B ST
City: Rainier
State: Oregon
ZIP Code: 97048-2667
Phone: (503) 366-8084

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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