Kathryn Aileen Jenkins, LMT
Massage Therapist in Portland, OR. Individual provider (NPI-1).
NPI number1669098331
StatusActive
Last updated in NPPESJun 18, 2020
Details
- NPI
- 1669098331
- Entity type
- Individual (NPI-1)
- Name
- Kathryn Aileen Jenkins
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 18, 2020
- Certification date
- Jun 18, 2020
- Last updated
- Jun 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 22117 | OR | Yes |
Practice location
2122 Nw Quimby StPortland, OR 97210-2622
Phone 503-292-7668
Mailing address
20 Nw 16th Ave Apt 116Portland, OR 97209-2600
Phone 920-750-0887
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