Individual
KELLY JEAN LINDSAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
452 FOREST SQ, LONGVIEW, TX 75605-4401
(903) 757-3400
Mailing address
452 FOREST SQ, LONGVIEW, TX 75605-4401
(903) 757-3400
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT011363
TX
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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