Individual
KELLY ANNE THAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 TECHNOLOGY DR, LOWELL, MA 01851-2728
(833) 360-3655
Mailing address
439 S UNION ST STE 404A, LAWRENCE, MA 01843-2837
(978) 469-8245
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MA
Other
Enumeration date
03/12/2026
Last updated
03/12/2026
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