Individual
KERRY OLECHOVSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
259 PALMERTON RD, BLAIRSVILLE, PA 15717-6509
(724) 599-4118
Mailing address
259 PALMERTON RD, BLAIRSVILLE, PA 15717-6509
(724) 599-4118
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
MSG001358
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CQ115024
ESTHETICIAN
PA
01
—
MSG001358
MESSAGE THERAPIST
PA
Enumeration date
03/08/2017
Last updated
03/08/2017
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