Individual
KELLY J DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1125 12TH ST, SUITE E, VERO BEACH, FL 32960-3791
(772) 778-8890
(772) 778-1051
Mailing address
1125 12TH ST, SUITE E, VERO BEACH, FL 32960-3791
(772) 778-8890
(772) 778-1051
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA59680
FL
Other
Enumeration date
10/21/2011
Last updated
10/26/2011
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