Individual provider · Type 1 NPI
Sara Jean Kjellgren, LMT
Massage Therapist · Lebanon, OR
NPI number
1780834200
Active
Practice location
2225 S Main Rd
Lebanon, OR 97355-2482
Mailing address
32977 Sand Ridge Rd
Lebanon, OR 97355-9266
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 13615 (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 1780834200
Sara Jean Kjellgren, LMT's National Provider Identifier is 1780834200, issued on Sep 19, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lebanon, OR. The record was last updated on Sep 19, 2008.