Individual
KELLY NIILEKSELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
54354 STATE HIGHWAY M203, HANCOCK, MI 49930-9448
(906) 281-4806
Mailing address
PO BOX 22, HANCOCK, MI 49930-0022
(906) 299-9355
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501016269
MI
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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