MISS KELLY JEAN MAHLA LLP, PTA
NPI 1356551824
Massage Therapist in Macomb, MI

Active since May 23, 2007
55753 SERENE DR, MACOMB, MI 48042(586) 216-3815 Get Directions Write a Review

NPPES record last updated: November 19, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miss Kelly Jean Mahla Llp, Pta NPPES

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

MISS KELLY JEAN MAHLA LLP, PTA (NPI 1356551824) is an individual massage therapist in Macomb, Michigan and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1356551824
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMISS KELLY JEAN MAHLACredential: LLP, PTA
Location Address55753 SERENE DRMacomb, MI 48042-6164
Mailing Address55753 Serene DrMacomb, MI 48042-6164 · (586) 216-3815
Sole ProprietorYes
Enumeration DateMay 23, 2007
Last NPPES UpdateNovember 19, 2012
NPI 1356551824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
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.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 6301013552 (MI)
55753 SERENE DR, Macomb, MI 48042

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 Mahla's NPI number?

The NPI number for Kelly Mahla is 1356551824. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Kelly Mahla located?

Kelly Mahla practices at 55753 Serene Dr, Macomb, MI 48042. The listed phone number is (586) 216-3815.

What is Kelly Mahla'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 Mahla was last updated on November 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.