Individual provider · Type 1 NPI
Julie Kornilkin, LICENSED MASSAGE THE
Massage Therapist · Molalla, OR
NPI number
1285985002
Active
Practice location
9021 S. Gibson Rd., Bldg. B
Molalla, OR 97038
Fax (503) 263-1185
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 11296 (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.
Another provider at this address
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About NPI 1285985002
Julie Kornilkin, LICENSED MASSAGE THE's National Provider Identifier is 1285985002, issued on Sep 20, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Molalla, OR. The record was last updated on Sep 20, 2012.