Individual
KELLY BIASIOLLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 COLONIAL PKWY, BURLESON, TX 76028-1363
(817) 807-6590
Mailing address
101 COLONIAL PKWY, BURLESON, TX 76028-1363
(817) 807-6590
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
12096
NC
225700000X
Massage Therapist
Primary
80177
CA
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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