Individual
KELLIE VICTORIA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1800 WEST CUMMINGS AVENUE, OPP, AL 36467
(334) 343-6325
Mailing address
601 DIXIE DR, ENTERPRISE, AL 36330-1405
(334) 343-6325
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2926
AL
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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