Individual
KELLEY BOYLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15109 PARK AVE, BURNSVILLE, MN 55306-5160
(952) 607-5001
Mailing address
15109 PARK AVE, BURNSVILLE, MN 55306-5160
(952) 607-5001
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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