IndividualActive
Kaila Autrey, LMT
NPI 1235672270 · Massage Therapist · Lake Oswego, OR
Provider details
- NPI number
- 1235672270
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 22004 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3 Monroe Pkwy
Suite U
Lake Oswego, OR 97035-1486
Phone: (503) 387-3205
Approximate (ZIP-level) locationGet directions
Mailing address
604 S Ponderosa St
Canby, OR 97013-6312
Registry dates
- Enumerated
- 2016-11-23
- Last updated
- 2016-11-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.