Individual
KELLY A RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7917 EMERSON AVE, WESTCHESTER, CA 90045-1120
(310) 215-9061
Mailing address
14117 OCEAN GATE AVE, HAWTHORNE, CA 90250-6511
(310) 227-5741
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
80168
CA
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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