Individual
MRS. TONI MARIE KELLOGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLMT
Contact information
Practice address
928 LAZELLE ST, STURGIS, SD 57785-1674
(605) 720-1295
Mailing address
928 LAZELLE, STURGIS, SD 57785-1601
(605) 720-1295
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
500
SD
Other
Enumeration date
10/23/2009
Last updated
10/23/2009
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