Individual provider · Type 1 NPI

Kalesh Weaver, LMT

Massage Therapist · Talent, OR

NPI number 1114274685 Active

Practice location

7676 Adams Rd
Talent, OR 97540-7839

Mailing address

312 East Main Street
Talent, OR 97540

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X16981 (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 1114274685

Kalesh Weaver, LMT's National Provider Identifier is 1114274685, issued on Aug 14, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Talent, OR. The record was last updated on Aug 14, 2012.