Individual provider · Type 1 NPI

Kaila Autrey, LMT

Massage Therapist · Lake Oswego, OR

NPI number 1235672270 Active

Practice location

3 Monroe Pkwy, Suite U
Lake Oswego, OR 97035-1486

Call (503) 387-3205 Map

Mailing address

604 S Ponderosa St
Canby, OR 97013-6312

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X22004 (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 1235672270

Kaila Autrey, LMT's National Provider Identifier is 1235672270, issued on Nov 23, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lake Oswego, OR. The record was last updated on Nov 23, 2016.