MS. MIDA LILA-MARIE KELLEHER LMT
NPI 1104944511
Massage Therapist in Melbourne, FL

Active since March 26, 2007
2208 WOODBURY RD, MELBOURNE, FL 32935(321) 302-4860 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Mida Lila-marie Kelleher Lmt NPPES

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

MS. MIDA LILA-MARIE KELLEHER LMT (NPI 1104944511) is an individual massage therapist in Melbourne, Florida, licensed in Florida (MA47456) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1104944511
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMS. MIDA LILA-MARIE KELLEHERCredential: LMT
Location Address2208 WOODBURY RDMelbourne, FL 32935-3059
Mailing Address2208 Woodbury RdMelbourne, FL 32935-3059 · (321) 302-4860
Sole ProprietorYes
Enumeration DateMarch 26, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1104944511 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 FL · MA47456
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.
2208 WOODBURY RD, Melbourne, FL 32935

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Mida Kelleher's NPI number?

The NPI number for Mida Kelleher is 1104944511. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is Mida Kelleher located?

Mida Kelleher practices at 2208 Woodbury Rd, Melbourne, FL 32935. The listed phone number is (321) 302-4860.

What is Mida Kelleher'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 Mida Kelleher was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.