Katrina Grubert, LMT
Massage Therapist in Bend, OR. Individual provider (NPI-1).
NPI number1083177927
StatusActive
Last updated in NPPESApr 8, 2019
Details
- NPI
- 1083177927
- Entity type
- Individual (NPI-1)
- Name
- Katrina Grubert
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 8, 2019
- Last updated
- Apr 8, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 24977 | OR | Yes |
Practice location
628 Nw York DrBend, OR 97703-1572
Phone 541-388-2429
Mailing address
1565 Nw Portland Ave Apt 7Bend, OR 97703-1400
Other practice locations
61615 Athletic Club Dr
Bend, OR 97702-3247
Bend, OR 97702-3247
Phone 541-385-3062
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