NPI 1114413036

Kelly Mitchell

Practitioner Massage Therapist Gretna, LA

Practice location

Address: 2120 Belle Chasse Hwy, Gretna, LA 70053-6651
Phone: (504) 263-2440

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence LA7446 (LA)

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Registry record

NPI: 1114413036
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jul 2018
Record last updated: 3 Jul 2018

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.