Individual
AUDRA GUADALUPE KEELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
86 BOSTON POST RD STE 1, WATERFORD, CT 06385
(360) 471-3914
Mailing address
38 VILLAGE DR, LEDYARD, CT 06339-1230
(360) 471-3914
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8782
CT
Other
Enumeration date
02/10/2012
Last updated
08/14/2019
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