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Lacey Kathleen Abbott, LMT

Massage Therapist in Troutdale, OR. Individual provider (NPI-1).

NPI number1447586813
StatusActive
Last updated in NPPESNov 14, 2013

Details

NPI
1447586813
Entity type
Individual (NPI-1)
Name
Mrs. Lacey Kathleen Abbott
Credential
LMT
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 20, 2009
Last updated
Nov 14, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist10606ORYes

Practice location

24595 Se Stark St
Troutdale, OR 97060-3390

Phone 503-492-6851

Mailing address

24595 Se Stark St
Troutdale, OR 97060-3390

Phone 503-492-6851

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