Individual
KELLY M MUCHETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1421 C. KEMPSVILLE RD., CHESAPEAKE, VA 23320
(757) 410-5322
Mailing address
184 W VIRIGNIA AVE, VIRGINIA BEACH, VA 23452
(757) 288-8673
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019009524
VA
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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