Organization
RENAISSANCE INTERNATIONAL CORP.
Active
Organization
RENAISSANCE INTERNATIONAL CORP.
Active
Other names
Keller Therapeutics, Seacoast Medical Massage
Organization subpart
No
Provider details
NPI number
Authorized official
E ROBERT KELLER II BCTMB (PRESIDENT)
(978) 465-5111
Entity
Organization
Contact information
Practice address
10 PRINCE PL STE 112, NEWBURYPORT, MA 01950-2641
(978) 465-5111
(206) 202-3534
Mailing address
204 HIGH ST, NEWBURYPORT, MA 01950-3824
(978) 465-5111
(206) 202-3534
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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