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
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 17594 (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.