Provider Demographics
NPI:1245444587
Name:CONLEN, KATHRYN MELANIE (MASSAGE THERAPIST)
Entity type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:MELANIE
Last Name:CONLEN
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 81794
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MI
Mailing Address - Zip Code:48308-1794
Mailing Address - Country:US
Mailing Address - Phone:248-656-2063
Mailing Address - Fax:248-656-6965
Practice Address - Street 1:333 LINWOOD AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MI
Practice Address - Zip Code:48307-1522
Practice Address - Country:US
Practice Address - Phone:248-656-2063
Practice Address - Fax:248-656-6965
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist