Individual
MRS. KELLY MARIE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
6200 E CANYON RIM RD STE 208D, ANAHEIM, CA 92807-4317
(657) 217-0547
Mailing address
805 S PLYMOUTH PL, ANAHEIM, CA 92806-4533
(657) 657-4787
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2340
CA
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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