Individual
KELLIE BETH ROSENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
117 COOLIDGE AVE, HOLLAND, MI 49423-3020
(616) 312-9664
Mailing address
44 TAFT ST, ZEELAND, MI 49464-1621
(616) 312-9664
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501010056
MI
Other
Enumeration date
04/11/2019
Last updated
04/11/2019
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