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Individual

DAVID RAY KELLOGG II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MASSAGE THERAPIST

Contact information

Practice address
138 2ND ST NE, NEW PHILADELPHIA, OH 44663-2854
(330) 204-4388
Mailing address
3634 STATE ROUTE 516 NW, DOVER, OH 44622-7253
(330) 204-4388

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.010593
OH

Other

Enumeration date
03/31/2020
Last updated
03/31/2020
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