Individual
DIANA J KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1205 PLAZA BLVD, SUITE F, CENTRAL POINT, OR 97502-2683
(541) 282-3496
Mailing address
404 SILVER CREEK DR, CENTRAL POINT, OR 97502-5007
(541) 282-3496
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
13273
OR
225700000X
Massage Therapist
Primary
13273
OR
Other
Enumeration date
12/16/2011
Last updated
12/22/2011
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