KELLIE L. FULLER CMT,LMT
NPI 1033354352
Massage Therapist in Farmington, NM

Active since December 16, 2008
626 E MAIN ST # 2, FARMINGTON, NM 87401(505) 608-9908 Get Directions Write a Review

NPPES record last updated: December 16, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kellie L. Fuller Cmt,lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLIE L. FULLER CMT,LMT (NPI 1033354352) is an individual massage therapist in Farmington, New Mexico, licensed in New Mexico (5427) and active in the NPI registry since December 2008.

NPPES Registry Identity

NPI1033354352
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameKELLIE L. FULLERCredential: CMT,LMT
Location Address626 E MAIN ST # 2Farmington, NM 87401-2714
Mailing Address626 E Main St # 2Farmington, NM 87401-2714 · (505) 608-9908
Sole ProprietorYes
Enumeration DateDecember 16, 2008
NPI 1033354352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License Licensed in NM · 5427
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
626 E MAIN ST # 2, Farmington, NM 87401

Other Names 1

Former Name (1)Kelie L. Hamilton

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kellie Fuller's NPI number?

The NPI number for Kellie Fuller is 1033354352. It was assigned to this individual provider in the NPPES registry on December 16, 2008. The provider is also known as Kelie L. Hamilton.

Where is Kellie Fuller located?

Kellie Fuller practices at 626 E Main St # 2, Farmington, NM 87401. The listed phone number is (505) 608-9908.

What is Kellie Fuller's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Kellie Fuller was last updated on December 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.