Individual
KELLEY ELIZABETH HUGHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
23123 BOUQUET CYN RD, 203, SANTA CLARITA, CA 91350-9135
(949) 244-9467
Mailing address
26123 BOUQUET CANYON RD APT 203, SANTA CLARITA, CA 91350-2918
(949) 244-9467
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
80422
CA
405300000X
Prevention Professional
80422
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80422
CERTIFICATION
CA
Enumeration date
09/18/2020
Last updated
09/18/2020
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