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Individual
KELLY R COLELLO
Active
Individual
KELLY R COLELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00019960
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0224172
LABOR AND INDUSTRIES
WA
Enumeration date
09/28/2007
Last updated
09/27/2024
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