Individual provider · Type 1 NPI
Katherine Idell Thompson Kruse
Massage Therapist · Portland, OR
NPI number
1609168137
Active
Practice location
4326 SW Kanan Dr
Portland, OR 97221-3441
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 9687 (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 1609168137
Katherine Idell Thompson Kruse's National Provider Identifier is 1609168137, issued on May 2, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Apr 8, 2015.