Individual
KAYLENE DEWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31158 275TH AVE, SEBEKA, MN 56477-2300
(218) 639-2294
Mailing address
31158 275TH AVE, SEBEKA, MN 56477-2300
(218) 639-2294
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
08/27/2021
Last updated
11/15/2021
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