Mahla, Kelly Jean

Mahla, Kelly Jean is an sole proprietor health care provider with primary practice located at 55753 Serene Dr , Macomb MI 48042-6164. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist is her primary health care specialty. Mahla, Kelly Jean can be contacted via phone (586) 216-3815.

Contact Information

Primary practice address
55753 Serene Dr Macomb MI 48042-6164
Phone: (586) 216-3815
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301013552 Michigan
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X

Profile Details

NPI number 1356551824
LBN Legal business name Mahla, Kelly Jean
Credentials LLP, PTA
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2007
Last updated Nov 19th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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