Individual provider · Type 1 NPI

Brooke Kaylynn Small

Massage Therapist · The Dalles, OR

NPI number 1063992790 Active

Practice location

551 Lone Pine Blvd
The Dalles, OR 97058-9403

Call (541) 506-5779 Map

Mailing address

PO Box 428
Dallesport, WA 98617-0428

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X24170 (OR)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1063992790

Brooke Kaylynn Small's National Provider Identifier is 1063992790, issued on Aug 21, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in The Dalles, OR. The record was last updated on Aug 21, 2018.