Individual provider · Type 1 NPI

Keith Killam, LMT

Massage Therapist · Bend, OR

NPI number 1225801525 Active

Practice location

568 NE Savannah Dr Ste 5
Bend, OR 97701-4866

Call (541) 668-1881 Map

Fax (888) 658-6924

Mailing address

61174 Brookhollow Dr
Bend, OR 97702-2777

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XLMT-26571 (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 1225801525

Keith Killam, LMT's National Provider Identifier is 1225801525, issued on Oct 30, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bend, OR. The record was last updated on Oct 30, 2023.