KELLY ALYSA BENNETT LMT, BCTMB
NPI 1437854213
Massage Therapist in Tigard, OR

Active since April 03, 2023
12725 SW 66TH AVE STE 205, TIGARD, OR 97223(971) 245-5699 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Alysa Bennett Lmt, Bctmb NPPES

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

KELLY ALYSA BENNETT LMT, BCTMB (NPI 1437854213) is an individual massage therapist in Tigard, Oregon, licensed in Oregon (26594) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1437854213
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameKELLY ALYSA BENNETTCredential: LMT, BCTMB
Location Address12725 SW 66TH AVE STE 205Tigard, OR 97223-2548
Mailing Address15390 Sw Kenton DrTigard, OR 97224-7371 · (503) 639-8768
Sole ProprietorNo
Enumeration DateApril 3, 2023
NPPES CertifiedApril 2, 2023
NPI 1437854213 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 OR · 26594
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.
12725 SW 66TH AVE STE 205, Tigard, OR 97223

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
12725 SW 66TH AVE STE 205
TIGARD, OR 97223
Chiropractor
12725 SW 66TH AVE STE 205
TIGARD, OR 97223

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 Bennett's NPI number?

The NPI number for Kelly Bennett is 1437854213. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Kelly Bennett located?

Kelly Bennett practices at 12725 SW 66th Ave Ste 205, Tigard, OR 97223. The listed phone number is (971) 245-5699.

What is Kelly Bennett'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 Bennett was last updated on April 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.