(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003292509
Provider Name: LISA KELLEY LMT
Entity Type: Individual
Taxonomy Code: 175F00000X
Specialty: Naturopath
License Number: MT4261
Most Important Dates
Enumeration Date: 08/06/2015
Last Updated: 08/06/2015
Provider Practice Location
117 FREE STREET
C/O HEADGAMES SPA
PORTLAND
ME
04106
Practice Location Phone/Fax
Phone: 2072399485
Fax:
Provider Mailing Location
268 PREBLE ST
UNIT B
SOUTH PORTLAND
ME
041062232
Provider Mailing Phone/Fax
Phone:
Fax: