Provider Demographics
NPI:1558878108
Name:KAYLEE READ LMT
Entity Type:Organization
Organization Name:KAYLEE READ LMT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KAYLEE
Authorized Official - Middle Name:
Authorized Official - Last Name:READ
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:503-884-6941
Mailing Address - Street 1:581 CUMMINGS LN N
Mailing Address - Street 2:
Mailing Address - City:KEIZER
Mailing Address - State:OR
Mailing Address - Zip Code:97303-5851
Mailing Address - Country:US
Mailing Address - Phone:503-884-6941
Mailing Address - Fax:
Practice Address - Street 1:925 COMMERCIAL ST SE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97302-4172
Practice Address - Country:US
Practice Address - Phone:503-884-6941
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-04
Last Update Date:2018-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR22068225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty