Individual
MRS. KELLY COLLEEN KOHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.M.T., L.M.T
Contact information
Practice address
515 BAY ST, TRAVERSE CITY, MI 49684-2283
(231) 421-5477
(231) 421-5478
Mailing address
515 BAY ST, TRAVERSE CITY, MI 49684-2283
(231) 649-6258
(231) 421-5478
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0265
MN
Other
Enumeration date
05/25/2007
Last updated
04/05/2010
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