Individual
PAMELA A SPENCER-KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW, LMT
Contact information
Practice address
3404 ASSUMPTION DR NE, GRAND RAPIDS, MI 49525-2617
(616) 490-1818
Mailing address
3404 ASSUMPTION DR NE, GRAND RAPIDS, MI 49525-2617
(616) 490-1818
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501005338
MI
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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