Individual
KELLY MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2120 BELLE CHASSE HWY, GRETNA, LA 70053-6651
(504) 263-2440
Mailing address
2120 BELLE CHASSE HWY, GRETNA, LA 70053-6651
(504) 263-2440
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA7446
LA
Other
Enumeration date
07/03/2018
Last updated
07/03/2018
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