Provider Demographics
NPI:1770844151
Name:DAY, KALI (LAC)
Entity type:Individual
Prefix:
First Name:KALI
Middle Name:
Last Name:DAY
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3225 WILLAMETTE ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-3309
Mailing Address - Country:US
Mailing Address - Phone:541-600-6252
Mailing Address - Fax:
Practice Address - Street 1:3225 WILLAMETTE ST
Practice Address - Street 2:SUITE 3
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97405-3309
Practice Address - Country:US
Practice Address - Phone:541-600-6252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-02
Last Update Date:2016-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC172060171100000X
KSNOT REQ IN KS174H00000X, 174N00000X, 225700000X, 374J00000X
KS40104 AAAOM171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No174H00000XOther Service ProvidersHealth Educator
No174N00000XOther Service ProvidersLactation Consultant, Non-RN
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No374J00000XNursing Service Related ProvidersDoula