NPI 1174020440

Kelly Marie Kolb, LMT

Practitioner Massage Therapist Glendale, AZ

Practice location

Address: 6615 W Happy Valley Rd STE B108, Glendale, AZ 85310-2608
Phone: (623) 869-6711
Mailing address: 3158 W Hartford Dr, Phoenix, AZ 85053-1820

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MT06563 (AZ)

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Registry record

NPI: 1174020440
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Apr 2018
Record last updated: 12 Apr 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.