Individual
KELLI KOLLANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
515 N HARBOR CITY BLVD, MELBOURNE, FL 32935-6870
(321) 794-9119
Mailing address
1243 JADE LN NE, PALM BAY, FL 32907-1105
(321) 794-9119
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA19848
FL
Other
Enumeration date
07/30/2009
Last updated
07/30/2009
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