Individual
KELLY ANNE MINTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1660 AKRON PENINSULA RD, SUITE101A, AKRON, OH 44313-5189
(330) 618-9695
Mailing address
30 PARMELEE DR, HUDSON, OH 44236-3426
(330) 618-9695
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.022407 L-M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33.022407
STATE MEDICAL BOARD OF OHIO
OH
Enumeration date
02/24/2016
Last updated
02/24/2016
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