Individual
ANGELA JUDITH KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
784 N BRADLEY HWY, ROGERS CITY, MI 49779-1513
(989) 734-7144
Mailing address
7438 M 68, ROGERS CITY, MI 49779-9735
(989) 306-1864
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501004508
MI
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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