Individual
ROBERT KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
124 PEARL ST, STE 606, YPSILANTI, MI 48197-2663
(734) 480-8536
Mailing address
124 PEARL ST, STE 606, YPSILANTI, MI 48197-2663
(734) 480-8536
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501003337
MI
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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