Individual
NANCY KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5771 BOYERTOWN PIKE, BIRDSBORO, PA 19508-8635
(484) 772-0766
Mailing address
5771 BOYERTOWN PIKE, BIRDSBORO, PA 19508-8635
(484) 772-0766
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG007633
PA
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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