Individual
MS. KELLY JO MARTINDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3140 CHAPARRAL DR # C-109, ROANOKE, VA 24018-4355
(540) 525-9502
Mailing address
3205 COURTLAND RD NW, ROANOKE, VA 24012-7722
(540) 797-2392
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19012789
VA
Other
Enumeration date
05/11/2020
Last updated
05/11/2020
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