Individual
KENYATIA MCLISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
49 SHERWOOD TER, OLD SAYBROOK, CT 06475-2144
(248) 217-1646
Mailing address
7 N MAIN ST UNIT 1234, OLD SAYBROOK, CT 06475-4243
(248) 217-1646
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
010630
CT
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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