Kelly Gray, LMT

NPI #1891043675 in Hampton, Illinois

Provider Information

NPI Number: 1891043675
Entity Type: Individual
Name: Kelly Gray, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Aug 27, 2012
Last Updated: Aug 27, 2012

Practice Location

Address: 510 STATE AVE STE 3
City: Hampton
State: Illinois
ZIP Code: 61256-9690
Phone: (309) 751-9790

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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