Individual
MR. KELIE H. R. WELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
541 NE 45TH CT, POMPANO BEACH, FL 33064-4126
(954) 941-4222
Mailing address
541 NE 45TH CT, POMPANO BEACH, FL 33064-4126
(954) 941-4222
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA34716
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
684303400
—
FL
Enumeration date
12/13/2010
Last updated
12/13/2010
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