MS. Kellie P Vernon, LMBT S.C.#4771

NPI #1821363094 in Marietta, South Carolina

Provider Information

NPI Number: 1821363094
Entity Type: Individual
Name: MS. Kellie P Vernon, LMBT S.C.#4771
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMBT S.C.#4771
Enumeration Date: Mar 20, 2012
Last Updated: Mar 20, 2012

Practice Location

Address: 275 WILDAZALEA LANE
City: Marietta
State: South Carolina
ZIP Code: 29661
Phone: (864) 270-0205

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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