Individual
MRS. VERA DENISE KENNEDY-MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT#392 MASSAGE THEP
Contact information
Practice address
968 SCR 7, TAYLORSVILLE, MS 39168
(678) 254-8823
Mailing address
968 SCR 7, TAYLORSVILLE, MS 39168
(678) 254-8823
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
MS
Other
Enumeration date
10/14/2009
Last updated
10/14/2009
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