| Kellie D Corman, LMT | |
|
5843 Elliott Rd, Lake Charles, LA 70605-0401 | |
| (337) 478-0834 | |
| Not Available |
| Full Name | Kellie D Corman |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 5843 Elliott Rd, Lake Charles, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114077476 | NPI | - | NPPES |
| LA0232-01 | Other | LA | MASSAGE THERAPY LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | LA0232-01 (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kellie D Corman, LMT 5843 Elliott Rd, Lake Charles, LA 70605-0401 Ph: (337) 478-0834 | Kellie D Corman, LMT 5843 Elliott Rd, Lake Charles, LA 70605-0401 Ph: (337) 478-0834 |
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