Bennett, Kelly Alysa
Bennett, Kelly Alysa is an individual health care provider with primary practice located at 12725 Sw 66Th Ave Ste 205 , Tigard OR 97223-2548. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Bennett, Kelly Alysa can be contacted via phone (971) 245-5699.Contact Information
Primary practice address
12725 Sw 66Th Ave Ste 205
Tigard OR 97223-2548
Phone: (971) 245-5699
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 26594 | Oregon |
Profile Details
| NPI number | 1437854213 |
|---|---|
| LBN Legal business name | Bennett, Kelly Alysa |
| Credentials | LMT, BCTMB |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2023 |
| Last updated | Apr 3rd, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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