Individual
CRYSTAL KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
440 CHURCH ST SE #PA6-403, SALEM, OR 97312
(503) 569-5339
Mailing address
4435 PACIFICA WAY NE APT 103, SALEM, OR 97305-2862
(503) 569-5339
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24803
OR
Other
Enumeration date
03/01/2019
Last updated
05/30/2024
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