KELLIE D CORMAN LMT
NPI 1114077476
Massage Therapist in Lake Charles, LA

Active since January 11, 2007
5843 ELLIOTT RD, LAKE CHARLES, LA 70605(337) 478-0834 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kellie D Corman Lmt NPPES

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

KELLIE D CORMAN LMT (NPI 1114077476) is an individual massage therapist in Lake Charles, Louisiana, licensed in Louisiana (LA0232-01) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1114077476
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameKELLIE D CORMANCredential: LMT
Location Address5843 ELLIOTT RDLake Charles, LA 70605-0401
Mailing Address5843 Elliott RdLake Charles, LA 70605-0401 · (337) 478-0834
Sole ProprietorYes
Enumeration DateJanuary 11, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1114077476 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 LA · LA0232-01
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.

5843 ELLIOTT RD, Lake Charles, LA 70605

Other Identifiers 1

OtherLA0232-01LA · Massage Therapy License

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114077476, enumerated as an "individual" on January 11, 2007.

The provider is located at 5843 ELLIOTT RD LAKE CHARLES, LA 70605 and the phone number is (337) 478-0834.

Massage Therapist with taxonomy code 225700000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.