Individual
KELLY DELONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
311 S RALEIGH ST, MARTINSBURG, WV 25401-2638
(304) 582-9065
Mailing address
311 S RALEIGH ST, MARTINSBURG, WV 25401-2638
(304) 582-9065
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2017-3481
WV
Other
Enumeration date
03/04/2022
Last updated
03/04/2022
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