Individual
KELSEY GRACE REEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
378 TUTTLE AVE APT A, MOBILE, AL 36604-1643
(912) 704-5539
Mailing address
378 TUTTLE AVE APT A, MOBILE, AL 36604-1643
(912) 704-5539
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5310
AL
Other
Enumeration date
11/14/2020
Last updated
11/14/2020
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