Individual
CHARLINE M KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
903 MAIN ST, GRAFTON, OH 44044-1433
(440) 926-2326
Mailing address
9802 QUARRY RD, SOUTH AMHERST, OH 44001-2940
(440) 339-7933
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.020834
OH
Other
Enumeration date
12/15/2015
Last updated
12/15/2015
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