Individual provider · Type 1 NPI

Lacey Elizabeth Rose Klem, LMT

Massage Therapist · Milton Freewater, OR

NPI number 1356812192 Active

Practice location

85458 Hywy 11
Milton Freewater, OR 97862

Call (541) 938-8300 Map

Fax (541) 938-3924

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X24742 (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 1356812192

Lacey Elizabeth Rose Klem, LMT's National Provider Identifier is 1356812192, issued on Dec 5, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Milton Freewater, OR. The record was last updated on Dec 5, 2018.