Individual provider · Type 1 NPI

Kala Rajelle Drake, LMT

Massage Therapist · Wilsonville, OR

NPI number 1770839581 Active

Practice location

30050 SW Town Center Loop W
Wilsonville, OR 97070-7596

Mailing address

28784 SW Ashland Loop Apt 203
Wilsonville, OR 97070-8796

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X17594 (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 1770839581

Kala Rajelle Drake, LMT's National Provider Identifier is 1770839581, issued on Jul 30, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Wilsonville, OR. The record was last updated on Jul 30, 2012.