Wallace, Kelsey

Wallace, Kelsey is an sole proprietor health care provider with primary practice located at 437 Fern Ave #D, Jackson MI 49202-3970. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Wallace, Kelsey can be contacted via phone (313) 952-1233.

Contact Information

Primary practice address
437 Fern Ave #D Jackson MI 49202-3970
Phone: (313) 952-1233
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 7501007544 Michigan

Profile Details

NPI number 1063870418
LBN Legal business name Wallace, Kelsey
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2016
Last updated Feb 1st, 2016 - about 8 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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