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KELLY M CAVANAUGH LMT, CMLDT
NPI 1073007548
Massage Therapist in Dyer, IN

Active since June 19, 2018
425 JOLIET ST STE 212, DYER, IN 46311(219) 381-9772 Get Directions Write a Review

NPPES record last updated: June 19, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly M Cavanaugh Lmt, Cmldt NPPES

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

KELLY M CAVANAUGH LMT, CMLDT (NPI 1073007548) is an individual massage therapist in Dyer, Indiana, licensed in Indiana (MT21505529) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1073007548
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameKELLY M CAVANAUGHCredential: LMT, CMLDT
Location Address425 JOLIET ST STE 212Dyer, IN 46311-1766
Mailing Address618 214th StDyer, IN 46311-1508 · (219) 381-9772
Phone(219) 381-9772
Sole ProprietorNo
Enumeration DateJune 19, 2018
✔ NPI 1073007548 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 IN · MT21505529
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.
425 JOLIET ST STE 212, Dyer, IN 46311
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Other Providers at the Same Location NPPES

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

THOMAS J CAVANAUGH LMT
Massage Therapist
425 JOLIET ST STE 212
DYER, IN 46311
Lake County (219) 381-9772

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 Kelly Cavanaugh's NPI number?

The NPI number for Kelly Cavanaugh is 1073007548. It was assigned to this individual provider in the NPPES registry on June 19, 2018.

Where is Kelly Cavanaugh located?

Kelly Cavanaugh practices at 425 Joliet St Ste 212, Dyer, IN 46311. The listed phone number is (219) 381-9772.

What is Kelly Cavanaugh'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 Kelly Cavanaugh was last updated on June 19, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.