Individual
KRISTINA MARIE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
504 STRAWBERRY PLAINS RD, WILLIAMSBURG, VA 23188-3425
(757) 585-5524
Mailing address
110 CARRS HILL RD, WILLIAMSBURG, VA 23185-3003
(757) 585-5524
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019007628
VA
Other
Enumeration date
11/22/2017
Last updated
11/22/2017
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