Individual
AUDRA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CLT
Contact information
Practice address
137 E SURREY AVE, PHOENIX, AZ 85022-5224
(951) 240-0023
Mailing address
137 E SURREY AVE, PHOENIX, AZ 85022-5224
(951) 240-0023
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-27547
AZ
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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