Weller, Kelie H. R.

Weller, Kelie H. R. is an sole proprietor health care provider with primary practice located at 541 Ne 45Th Ct , Pompano Beach FL 33064-4126. 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. Weller, Kelie H. R. can be contacted via phone (954) 941-4222.

Contact Information

Primary practice address
541 Ne 45Th Ct Pompano Beach FL 33064-4126
Phone: (954) 941-4222
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA34716 Florida

Profile Details

NPI number 1861795841
LBN Legal business name Weller, Kelie H. R.
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2010
Last updated Dec 13th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861795841 NPPES
Florida MEDICAID 684303400

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