Individual
MR. KELSEY K SWOPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
235 E MCKINLEY AVE., SUITE 4, MISHAWAKA, IN 46545-6260
(574) 259-3323
(574) 259-3323
Mailing address
235 E MCKINLEY AVE., SUITE 4, MISHAWAKA, IN 46545-6260
(574) 259-3323
(574) 259-3323
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT20900386
IN
Other
Enumeration date
07/17/2009
Last updated
07/17/2009
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