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MR. JOHNIE M. KELLY JR. CACMT
NPI 1043809023
Massage Therapist in Los Altos, CA

Active since January 13, 2021
895 SHERWOOD AVE STE 101, LOS ALTOS, CA 94022(650) 810-6582 Get Directions Write a Review

NPPES record last updated: January 13, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Johnie M. Kelly Jr. Cacmt NPPES

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

MR. JOHNIE M. KELLY JR. CACMT (NPI 1043809023) is an individual massage therapist in Los Altos, California, licensed in California (1148) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1043809023
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameMR. JOHNIE M. KELLY JR.Credential: CACMT
Location Address895 SHERWOOD AVE STE 101Los Altos, CA 94022-1344
Mailing Address171 Hamilton AveMountain View, CA 94043-4204 · (650) 810-6582
Phone(650) 810-6582
Sole ProprietorYes
Enumeration DateJanuary 13, 2021
NPPES CertifiedJanuary 13, 2021
✔ NPI 1043809023 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 CA · 1148
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.
895 SHERWOOD AVE STE 101, Los Altos, CA 94022
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ANNIE WANG L.AC.
Acupuncturist
895 SHERWOOD AVE STE 101
LOS ALTOS, CA 94022
Santa Clara County (650) 468-3636
ANNIE WANG ACUPUNCTURE, INC.
Acupuncturist
895 SHERWOOD AVE STE 101
LOS ALTOS, CA 94022
Santa Clara County (650) 468-3636

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 Johnie Kelly's NPI number?

The NPI number for Johnie Kelly is 1043809023. It was assigned to this individual provider in the NPPES registry on January 13, 2021.

Where is Johnie Kelly located?

Johnie Kelly practices at 895 Sherwood Ave Ste 101, Los Altos, CA 94022. The listed phone number is (650) 810-6582.

What is Johnie Kelly'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 Johnie Kelly was last updated on January 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.