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Individual

MRS. KELLY MARIE KOLB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
6615 W HAPPY VALLEY RD STE B108, GLENDALE, AZ 85310-2608
(623) 869-6711
Mailing address
3158 W HARTFORD DR, PHOENIX, AZ 85053-1820
(480) 430-3268

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT06563
AZ

Other

Enumeration date
04/12/2018
Last updated
04/12/2018
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