MISS Kelly Marie Cooper, L.M.B.T
NPI #1265763098 in Fairview, North Carolina
Provider Information
- NPI Number
- 1265763098
- Entity Type
- Individual
- Name
- MISS Kelly Marie Cooper, L.M.B.T
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- L.M.B.T
- Enumeration Date
- Jan 19, 2010
- Last Updated
- Jan 19, 2010
Practice Location
- Address
- 25 QUAIL HOLLOW RD
- City
- Fairview
- State
- North Carolina
- ZIP Code
- 28730-8505
- Phone
- (828) 777-5083
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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