| Kelsey Wallace, LMT | |
|
16500 Joy Rd # 258, Detroit, MI 48228-0632 | |
| (248) 417-5352 | |
| (888) 793-5313 |
| Full Name | Kelsey Wallace |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 16500 Joy Rd # 258, Detroit, 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 16500 Joy Rd # 258, Detroit, MI 48228-0632 Ph: (248) 417-5352 | Kelsey Wallace, LMT 16500 Joy Rd # 258, Detroit, MI 48228-0632 Ph: (248) 417-5352 |
Leslie Estell, MASSAGE THERAPIST Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 18944 W 7 Mile Rd, Detroit, MI 48219 Phone: 248-499-4216 | |
Kristopher Barbee, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 4200 W Buena Vista St Apt 1, Detroit, MI 48238 Phone: 313-455-8749 | |
Ms. Kim Griffin, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 14364 Bentler St, Detroit, MI 48223 Phone: 313-740-1446 | |
Ann Perrault, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 4835 2nd Ave, Detroit, MI 48201 Phone: 313-806-1637 | |
Mr. Douglas Keith Mccray Ii, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 19132 Grandville Ave, Detroit, MI 48219 Phone: 313-784-6981 | |
Mr. Emanuel Borden Iii, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 12020 Lakepointe St, Detroit, MI 48224 Phone: 313-617-4208 |