person
Kellie D Corman, LMT
Massage Therapist in Lake Charles, Louisiana
NPI 1114077476

Kellie D Corman is a Massage Therapist based in Lake Charles, LA. Kellie D Corman practices in Lake Charles, LA and has the professional credentials of LMT. The NPI Number for Kellie D Corman is 1114077476 and holds a License No. LA0232-01 (Louisiana).

The current practice location address for Kellie D Corman is 5843 Elliott Rd, Lake Charles, LA and can be reached out via phone at 337-478-0834.

Location: 5843 Elliott Rd, Lake Charles, LA, 70605-0401
person
Provider Profile Details
NPI Number
1114077476
Provider Name
Kellie D Corman
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
5843 Elliott Rd, Lake Charles, LA, 70605-0401
Phone Number
337-478-0834
Fax Number
Provider Enumeration Date
01/11/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LA0232-01 01 LA MASSAGE THERAPY LICENSE
institution
Provider Business Practice Location Address Details
Address
5843 Elliott Rd
City
State
Zip
70605-0401
Phone Number
337-478-0834
Fax Number
person
Provider Business Mailing Address Details
Address
5843 Elliott Rd
City
State
Zip
70605-0401
Phone Number
337-478-0834
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
LA0232-01 (Louisiana)
Definition
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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