NPI 1033484480

Kelly Penaloza, PBMT

Practitioner Other Specialist/Technologist Livonia, MI

Practice location

Address: 31330 Schoolcraft Rd STE 200, Livonia, MI 48150-2041
Phone: (734) 525-9712

Registered specialties

Other Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246Z00000X

Other Specialist/Technologist, Other providers in Michigan →

Registry record

NPI: 1033484480
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Mar 2012
Record last updated: 16 May 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.