Organization
KELLYS HEALING MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY ANN JOHNSON (MASSAGE PRACTITIONER)
(509) 994-8497
Entity
Organization
Contact information
Practice address
3772 HIGHWAY 231, SPRINGDALE, WA 99173-7008
(509) 994-8497
Mailing address
3772 HWY231, SPRINGDALE, WA 99173
(509) 994-8497
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
WA
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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