Individual
KELSEY D LARGE
Active
Individual
KELSEY D LARGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
225700000X
Massage Therapist
15714
OH
Other
Enumeration date
07/26/2011
Last updated
08/07/2025
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