Lisa Kelley, LMT

NPI #1003292509 in Portland, Maine

Provider Information

NPI Number: 1003292509
Entity Type: Individual
Name: Lisa Kelley, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Naturopath
Credential: LMT
Enumeration Date: Aug 6, 2015
Last Updated: Aug 6, 2015

Practice Location

Address: 117 FREE STREET
Address 2: C/O HEADGAMES SPA
City: Portland
State: Maine
ZIP Code: 04106
Phone: (207) 239-9485

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Naturopath	175F00000X	Primary

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