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KELLY JO MCCULLOCH LMT
NPI 1093341471
Massage Therapist in Great Falls, MT

Active since March 18, 2020
2509 7TH AVE S C-3, GREAT FALLS, MT 59405(406) 868-8046(406) 771-6883 Get Directions Write a Review

NPPES record last updated: March 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Jo Mcculloch Lmt NPPES

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

KELLY JO MCCULLOCH LMT (NPI 1093341471) is an individual massage therapist in Great Falls, Montana, licensed in Montana (LMT-LIC-1384) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1093341471
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameKELLY JO MCCULLOCHCredential: LMT
Location Address2509 7TH AVE S C-3Great Falls, MT 59405-3031
Mailing Address5030 71st Ave SwGreat Falls, MT 59404-5286 · (406) 868-8046 · Fax (406) 771-6883
Phone(406) 868-8046
Fax(406) 771-6883
Sole ProprietorYes
Enumeration DateMarch 18, 2020
NPPES CertifiedMarch 18, 2020
✔ NPI 1093341471 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 MT · LMT-LIC-1384
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.
2509 7TH AVE S C-3, Great Falls, MT 59405
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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 Mcculloch's NPI number?

The NPI number for Kelly Mcculloch is 1093341471. It was assigned to this individual provider in the NPPES registry on March 18, 2020.

Where is Kelly Mcculloch located?

Kelly Mcculloch practices at 2509 7th Ave S C-3, Great Falls, MT 59405. The listed phone number is (406) 868-8046.

What is Kelly Mcculloch'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 Mcculloch was last updated on March 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.