Kelly Grace LMP

NPI 1902196595

Information of Kelly Grace LMP

The NPI 1902196595 is an Individual type. NPI No 1902196595 belongs to Kelly Grace. Kelly Grace LMP specializes in Massage Therapist. She is practising at 850 W Ironwood Dr, Coeur D Alene, Idaho 83814. You can also contact him via phone number (208) 664-5225.

Practice address located

  • 850 W Ironwood Dr
  • Coeur D Alene, Idaho 83814
  • (208) 664-5225
  • (208) 664-5225

Mailling address located

  • 850 W Ironwood Dr
  • Coeur D Alene, Idaho 83814
  • (208) 664-5225
  • (208) 664-5228
NPI No 1902196595
Primary Taxonomy
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
Yes225700000XMassage Therapist602786-11Idaho
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