Individual
MRS. KELLEY MARIE HOLMES-MORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
6 W CLARK ST, ILION, NY 13357-1102
(315) 894-1400
Mailing address
6 W CLARK ST, ILION, NY 13357-1102
(315) 894-1400
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
012443
NY
Other
Enumeration date
01/02/2014
Last updated
01/02/2014
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