Individual
CHRISTOPHER KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
515 HARRISON AVE STE A, CENTRALIA, WA 98531-1300
(360) 870-2473
(360) 312-4204
Mailing address
515 HARRISON AVE STE A, CENTRALIA, WA 98531-1300
(360) 870-2473
(360) 312-4204
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60195561
WA
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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