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Organization

FOSTERING WELLNESS MASSAGE THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KELLY M FOSTER LMT, MMP (OWNER/LICENSED MASSAGE THERAPIST)
(757) 323-5139
Entity
Organization

Contact information

Practice address
3108 TYRE NECK RD STE D, PORTSMOUTH, VA 23703-4532
(757) 323-5139
Mailing address
2736 MEADOW DR W, CHESAPEAKE, VA 23321-4132
(757) 323-5139

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019006819
VA

Other

Enumeration date
07/17/2018
Last updated
07/17/2018
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