Individual
COURTNEY ERISSA KELLAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6227 N RIDGE RD, MADISON, OH 44057-2570
(440) 428-2565
Mailing address
6227 N RIDGE RD, MADISON, OH 44057-2570
(440) 428-2565
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.022996
OH
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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