Individual
KELLY GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7792 PATTON RD, DANE, WI 53529-9715
(608) 846-0964
Mailing address
7792 PATTON RD, DANE, WI 53529-9715
(608) 846-0964
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2213-146
WI
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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