Individual
JENNIFER KILLGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28170 N MAIN ST STE C, DAPHNE, AL 36526-7010
(251) 616-4201
Mailing address
28170 N MAIN ST STE C, DAPHNE, AL 36526-7010
(251) 616-4201
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
225700000X
Massage Therapist
Primary
3263
AL
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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