Individual
KELSEY M LUCCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
14420 KITTRIDGE ST APT 208, VAN NUYS, CA 91405-5108
(818) 489-9816
Mailing address
14420 KITTRIDGE ST APT 208, VAN NUYS, CA 91405-5108
(818) 489-9816
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
83448
CA
Other
Enumeration date
03/05/2025
Last updated
06/08/2025
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