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Kelly De Leal, LMT
Massage Therapist in Fulton, Missouri
NPI 1750652780

Kelly De Leal is a Massage Therapist based in Fulton, MO. Kelly De Leal practices in Fulton, MO and has the professional credentials of LMT. The NPI Number for Kelly De Leal is 1750652780 and holds a License No. 2004026340 (Missouri).

The current practice location address for Kelly De Leal is 710 S Business 54, Fulton, MO and can be reached out via phone at 573-642-9999.

Location: 710 S Business 54, Fulton, MO, 65251-1403
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750652780
Provider Name
Kelly De Leal
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
710 S Business 54, Fulton, MO, 65251-1403
Phone Number
573-642-9999
Fax Number
Provider Enumeration Date
01/23/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
710 S Business 54
City
Fulton
State
Missouri
Zip
65251-1403
Phone Number
573-642-9999
Fax Number
person
Provider Business Mailing Address Details
Address
710 S Business 54
City
Fulton
State
Missouri
Zip
65251-1403
Phone Number
573-642-9999
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
2004026340 (Missouri)
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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