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Kelly Gray, LMT
Massage Therapist in Hampton, Illinois
NPI 1891043675

Kelly Gray is a Massage Therapist based in Geneseo, IL. Kelly Gray practices in Hampton, IL and has the professional credentials of LMT. The NPI Number for Kelly Gray is 1891043675 and holds a License No. 227.011622 (Illinois).

The current practice location address for Kelly Gray is 510 State Ave Ste 3, Hampton, IL and can be reached out via phone at 309-751-9790.

Location: 510 State Ave Ste 3, Hampton, IL, 61254-9106
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891043675
Provider Name
Kelly Gray
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
510 State Ave Ste 3, Hampton, IL, 61254-9106
Phone Number
309-751-9790
Fax Number
Provider Enumeration Date
08/27/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
510 State Ave Ste 3
City
Hampton
State
Illinois
Zip
61256-9690
Phone Number
309-751-9790
Fax Number
person
Provider Business Mailing Address Details
Address
510 State Ave Ste 3
City
Hampton
State
Illinois
Zip
61256-9690
Phone Number
309-751-9790
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
227.011622 (Illinois)
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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