Massage by Kelly

NPI #1104194513 in Spokane, Washington

Provider Information

NPI Number: 1104194513
Entity Type: Organization
Organization Name: Massage by Kelly
Primary Specialty: Massage Therapist
Enumeration Date: Dec 13, 2011
Last Updated: Dec 13, 2011

Practice Location

Address: 922 S COWLEY ST
Address 2: #5
City: Spokane
State: Washington
ZIP Code: 99202-1263
Phone: (509) 994-7682

Authorized Official

Name: KELLY WHITTEN, LMP
Title: OWNER
Phone: (509) 994-7682

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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