Individual
MRS. KELLY BALLENTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
6750 HAMILTON CLEVES RD., MIAMITOWN, OH 45041
(513) 353-2500
Mailing address
6750 HAMILTON CLEVES RD., PO BOX 41, MIAMITOWN, OH 45041
(513) 353-2500
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
020002
OH
Other
Enumeration date
08/28/2013
Last updated
08/28/2013
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