Individual
KELLY UR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2 GROVE ST, 1ST FLOOR, SOUTH HACKENSACK, NJ 07606-1616
(862) 228-0741
Mailing address
2 GROVE ST, 1ST FLOOR, SOUTH HACKENSACK, NJ 07606-1616
(862) 228-0741
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00103000
NJ
374J00000X
Doula
—
—
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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