Individual
KELLY FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, MMP
Contact information
Practice address
3108 TYRE NECK RD STE D, PORTSMOUTH, VA 23703
(757) 323-5139
Mailing address
2736 MEADOW DR W, CHESAPEAKE, VA 23321-4132
(757) 323-5139
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019006819
VA
225700000X
Massage Therapist
19006819
VA
Other
Enumeration date
11/25/2017
Last updated
07/17/2018
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