Individual
KELLY HILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1080 US HIGHWAY 331 S, SUITE B, DEFUNIAK SPRINGS, FL 32435-3374
(850) 892-4636
Mailing address
256 MICHIGAN LN, DEFUNIAK SPRINGS, FL 32433-6714
(850) 496-7306
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA76824
FL
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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