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NPI Profile for KELLIE P VERNON in SLATER-MARIETTA, SC.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Massage Therapist |
225700000X |
| NPI # | 1821363094 |
|
| Status | Active | |
| Credentials | LMBT S.C.#4771 | |
| Entity | Individual | |
| Enumeration date | 03/20/2012 | |
| Last updated | 03/20/2012 - About 14 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KELLIE P VERNON
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KELLIE P VERNON, LMBT S.C.#4771