Individual provider · Type 1 NPI

Kelly De Leal, LMT

Massage Therapist · Fulton, MO

NPI number 1750652780 Active

Practice location

710 S Business 54
Fulton, MO 65251-1403

Call (573) 642-9999 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X2004026340 (MO)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1750652780

Kelly De Leal, LMT's National Provider Identifier is 1750652780, issued on Jan 23, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fulton, MO. The record was last updated on Jan 23, 2012.