SearchMichigan225700000X

Kelly Mahla, LLP, PTA

NPI 1356551824 · on the registry since 2007 · sole proprietor

Practice

Address
55753 Serene Dr
Macomb, MI 48042
Phone
(586) 216-3815

Registry record

Primary taxonomy
225700000X
225700000X
Also registered as
103TC0700X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-11-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan