Kelly De Leal, LMT

NPI #1750652780 in Fulton, Missouri

Provider Information

NPI Number
1750652780
Entity Type
Individual
Name
Kelly De Leal, LMT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Massage Therapist
Credential
LMT
Enumeration Date
Jan 23, 2012
Last Updated
Jan 23, 2012

Practice Location

Address
710 S BUSINESS 54
City
Fulton
ZIP Code
65251-1403
Phone
(573) 642-9999

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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