Individual
NATASHA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5718 HENAGEN AVE, BATON ROUGE, LA 70805-2229
(225) 773-4418
Mailing address
5718 HENAGEN AVE, BATON ROUGE, LA 70805-2229
(225) 773-4418
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA7353
LA
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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