Individual
KELLY R DOERGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
16 FRANKLIN ST, EXETER, NH 03833-2819
(978) 255-3578
Mailing address
48 TANSY AVE, STRATHAM, NH 03885-2288
(631) 827-4215
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7391
NH
Other
Enumeration date
02/14/2021
Last updated
02/14/2021
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