Individual provider · Type 1 NPI
Kathryn Chassereau, L.M.T.
Specialist · Gold Beach, OR
NPI number
1104251727
Active
Practice location
29846 Ellensburg Ave
Gold Beach, OR 97444-0650
Fax (541) 247-9509
Mailing address
PO Box 650
Gold Beach, OR 97444-0650
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 15866 (OR) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1104251727
Kathryn Chassereau, L.M.T.'s National Provider Identifier is 1104251727, issued on Sep 13, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Gold Beach, OR. The record was last updated on Sep 13, 2013.