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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS KELLY JEAN MAHLA, LLP, PTA

Active Sole Proprietor

MISS KELLY JEAN MAHLA, LLP, PTA is a Massage Therapist healthcare provider located in MACOMB, Michigan. NPI 1356551824 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · MACOMB, MI

Registration Details

NPI Number
1356551824
Provider Type
Individual
Gender
Female
NPI Issued
May 23, 2007 (19.212133040515 yrs)
Last Updated
Nov 19, 2012
License
6301013552 (MI)
Sole Proprietor
Yes

Practice Information

Address
55753 SERENE DR
MACOMB, MI, 480426164
Browse MI providers · Browse ZIP 48042
Phone
5862163815
Primary Specialty
Massage Therapist
225700000X
Additional Specialty
Massage Therapist

Other Massage Therapist Providers in MACOMB, MI

Name Credential NPI
MR. PULIANTHURUTHIL JOSEPH THOMAS NCTM 1801020045
ROSANNA IMPEMBA 1144781923
MS. APRIL S SCHAFER CMT 1497396667
CHRISTINE DIETZ 1285229385
RICHELLE BAKA 1063106706
MARLENE ZEER 1033984463
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.