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Individual

MRS. DIANE E KELLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.T

Contact information

Practice address
6422 E MAIN ST, SUITE 102, REYNOLDSBURG, OH 43068-2358
(614) 561-9183
(614) 367-9281
Mailing address
1054 NOCTURNE RD E, REYNOLDSBURG, OH 43068-2016
(614) 561-9183
(614) 367-9281

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11532
OH

Other

Enumeration date
05/26/2007
Last updated
03/05/2008
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