Individual
CANDY COLLEY WELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CPT, CCT
Contact information
Practice address
503 N COLUMBIA ST, COVINGTON, LA 70433-2921
(504) 388-1915
Mailing address
102 E THISTLE ST, MANDEVILLE, LA 70471-8148
(504) 388-1915
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8485
LA
Other
Enumeration date
06/27/2017
Last updated
06/27/2017
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