Male or Other

Mr. Kelsey K. Swope CMT

Massage Therapist in Mishawaka, IN(View on Map)

Full Name

Mr. Kelsey K Swope CMT

NPI Number

1023248531

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/17/2009

Specialties

(Taxonomies)

Code

225700000X

Primary Taxonomy

Yes

Licenses

State

Indiana

License Number

MT20900386

Contact
Information

Purpose

Mailing
Location

Address

235 E MCKINLEY AVE., SUITE 4
235 E MCKINLEY AVE., SUITE 4

City

Mishawaka
Mishawaka

State

IN
IN

Postal Code

46545-6260
46545-6260

Country

US
US

Telephone Number

(574) 259-3323
(574) 259-3323

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/17/2009

Provider Address

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