Individual
MISS KELLY FLORENCE REMUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
337 4TH AVE, HUNTINGTON, WV 25701-1223
(304) 634-9997
Mailing address
317 GALLAHER ST, HUNTINGTON, WV 25705-3507
(304) 634-9997
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2005-1934
WV
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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