Kellie L. Fuller, CMT,LMT

NPI #1033354352 in Farmington, New Mexico

Provider Information

NPI Number
1033354352
Entity Type
Individual
Name
Kellie L. Fuller, CMT,LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
CMT,LMT
Enumeration Date
Dec 16, 2008
Last Updated
Dec 16, 2008

Practice Location

Address
626 E MAIN ST # 2
ZIP Code
87401-2714
Phone
(505) 608-9908

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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