Individual
MRS. SHANA GENEVA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
9229 BLUEBONNET BLVD STE B, BATON ROUGE, LA 70810-2808
(225) 301-2232
Mailing address
9317 MONHEGAN AVE, BAKER, LA 70714-7014
(225) 301-2232
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA8710
LA
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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