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KELLY ANN KONICKI LMT, CLT
NPI 1346076015
Massage Therapist in Johns Creek, GA

Active since September 10, 2024
11180 STATE BRIDGE ROAD, SUITE 404, JOHNS CREEK, GA 30022(678) 871-7940 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Ann Konicki Lmt, Clt NPPES

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

KELLY ANN KONICKI LMT, CLT (NPI 1346076015) is an individual massage therapist in Johns Creek, Georgia, licensed in Georgia (MT002856) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1346076015
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameKELLY ANN KONICKICredential: LMT, CLT
Location Address11180 STATE BRIDGE ROAD, SUITE 404Johns Creek, GA 30022-7482
Mailing Address1405 Treeridge PkwyAlpharetta, GA 30022-2830 · (917) 304-2672
Phone(678) 871-7940
Sole ProprietorNo
Enumeration DateSeptember 10, 2024
Last NPPES UpdateApril 22, 2025
NPPES CertifiedApril 22, 2025
✔ NPI 1346076015 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 GA · MT002856
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.
11180 STATE BRIDGE ROAD, Johns Creek, GA 30022
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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 Konicki's NPI number?

The NPI number for Kelly Konicki is 1346076015. It was assigned to this individual provider in the NPPES registry on September 10, 2024.

Where is Kelly Konicki located?

Kelly Konicki practices at 11180 State Bridge Road Suite 404, Johns Creek, GA 30022. The listed phone number is (678) 871-7940.

What is Kelly Konicki'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 Konicki was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.