Individual
CHRISTOPHER KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
1 MEDICAL PLZ, MOUNTAIN HOME, AR 72653-2918
(870) 425-0676
Mailing address
1 MEDICAL PLZ, MOUNTAIN HOME, AR 72653-2918
(870) 425-0676
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7849
AR
Other
Enumeration date
01/01/2014
Last updated
01/01/2014
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