Doctor Name: | MS. JENNIFER KONOW |
NPI Number: | 1215177936 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.M.T. |
License Number: | 11402 |
Business Practice Address: | 55 Honer Loop Creswell, OR - 974269899 |
Business Phone Number: | 5418684917 |
Business Fax Number: | |
Mailing Address: | 55 Honer Loop, CRESWELL |
State: | OR |
Postal Code: | 974269899 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/21/2009 |
NPI Last Update Date: | 03/15/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 11402 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |