| NPI | 1154706109 |
|---|---|
| Former Name | KELLY JANEL HOWARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR OBMT21306) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 21306) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2019-02-25 |