Kelly Mathis

NPI #1104436211 in Rock Springs, Wyoming

Provider Information

NPI Number
1104436211
Entity Type
Individual
Name
Kelly Mathis
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Massage Therapist
Enumeration Date
Aug 4, 2020
Last Updated
Aug 4, 2020

Practice Location

Address
617 BROADWAY ST STE C
State
Wyoming
ZIP Code
82901-6380
Phone
(307) 382-8661

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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