| NPI | 1770880619 |
|---|---|
| Former Name | KELSEY E FRASER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WI 10632-146) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WI 389278) |
| Enumeration Date | 2011-02-11 |
| Last Update Date | 2012-10-23 |