Individual
MRS. KELLIE ANN PUTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7991 COUNTY ROAD 71, LEXINGTON, AL 35648-4522
(256) 762-0601
Mailing address
7991 COUNTY ROAD 71, LEXINGTON, AL 35648-4522
(256) 762-0601
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2436
AL
Other
Enumeration date
05/05/2009
Last updated
05/05/2009
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