Kala Rajelle Drake, LMT Valid NPI
Individual provider · Massage Therapist · Wilsonville, OR
- NPI
- 1770839581
- Type
- Individual (Type 1)
- Primary specialty
- Massage Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225700000X
- License number
- 17594 (OR)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2012-07-30
- Last updated
- 2012-07-30
Practice location
30050 Sw Town Center Loop W
Wilsonville, OR 97070-7596
(503) 685-9841