SUSAN GAIL KELLY LMT
NPI 1184956880
Massage Therapist in Pensacola, FL
- Individual
- Female
- Massage Therapist
About SUSAN KELLY
This page provides the complete NPI Profile along with additional information for Susan Kelly, a provider established in Pensacola, Florida with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1184956880 assigned on February 2010. The practitioner's primary taxonomy code is 225700000X with license number MA18702 (FL). The provider is registered as an individual and her NPI record was last updated 16 years ago.
- NPI
- 1184956880 Verify this NPI
- Provider Name
- SUSAN GAIL KELLY LMT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 815 E GADSDEN ST PENSACOLA, FL 32501
- Location Phone
- (850) 723-1586
- Mailing Address
- 5785 NOWLING DR MILTON, FL 32583
- Mailing Phone
- (850) 723-1586
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-04-2010
- Last Update Date
- 02-04-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Massage Therapist
- Taxonomy Code
- 225700000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- MA18702
- License State
- FL
- Taxonomy Description
- 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.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184956880, enumerated as an "individual" on February 04, 2010.
The provider is located at 815 E GADSDEN ST PENSACOLA, FL 32501 and the phone number is (850) 723-1586.
Massage Therapist with taxonomy code 225700000X.
