Individual
MRS. KELLI JEAN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
813 RUNNING DEER, NASHVILLE, TN 37221-2234
(615) 804-5941
Mailing address
813 RUNNING DEER, NASHVILLE, TN 37221-2234
(615) 804-5941
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0105868733
WELLNESS PRACTITIONER
—
01
—
71400000X
WELLNESS PRACTITIONER
—
Enumeration date
08/22/2022
Last updated
08/22/2022
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