| Kelsey Wallace, LMT | |
|
437 Fern Ave, #d, Jackson, MI 49202-3970 | |
| (313) 952-1233 | |
| Not Available |
| Full Name | Kelsey Wallace |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 437 Fern Ave, Jackson, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063870418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 7501007544 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kelsey Wallace, LMT 437 Fern Ave, #d, Jackson, MI 49202-3970 Ph: (313) 952-1233 | Kelsey Wallace, LMT 437 Fern Ave, #d, Jackson, MI 49202-3970 Ph: (313) 952-1233 |
Tracy Dawn Vanwoert, MASSAGE THERAPIST Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 215 S Dettman Rd, Jackson, MI 49203 Phone: 517-788-5443 | |
Martine Stevenson, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 2905 Heritage Place Blvd, Apt# 4, Jackson, MI 49203 Phone: 517-317-3338 | |
Rose Tellier, CMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 3014 Whitlock Rd, Jackson, MI 49202 Phone: 734-516-2048 | |
Derry Petty, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 337 Oak Grove Ave Apt I, Jackson, MI 49203 Phone: 517-416-5297 | |
Kristina Ford, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 6590 Wolf Lake Rd, Jackson, MI 49201 Phone: 734-368-2682 | |
Mr. Edwind Allen Holsey, MASSAGE THERAPIST Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 908 Union St, Jackson, MI 49203 Phone: 517-945-8117 Fax: 517-945-8117 |