Kelly Grace, LMP

NPI 1902196595 · on the registry since 2011 · sole proprietor

Practice

Address: 850 W Ironwood Dr
302
Coeur D Alene, ID 83814
Phone: (208) 664-5225
Fax: (208) 664-5228
Organisation at this address: Nwaic, Llc
Joyce Kelley Lmt
Asc Northwest Llc
Avanti Health Llc
Premier Spine Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 55

Registry record

Primary taxonomy: Massage Therapist
225700000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2011-04-15

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 Idaho