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JORDAN M KELLEY LMT
NPI 1487529020
Massage Therapist in Columbia, MO

Active since October 06, 2025
5105 CLARK LN APT 204, COLUMBIA, MO 65202(417) 988-4933 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jordan M Kelley Lmt NPPES

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

JORDAN M KELLEY LMT (NPI 1487529020) is an individual massage therapist in Columbia, Missouri, licensed in Missouri (2023032695) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1487529020
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameJORDAN M KELLEYCredential: LMT
Location Address5105 CLARK LN APT 204Columbia, MO 65202-9876
Mailing Address5105 Clark Ln Apt 204Columbia, MO 65202-9876 · (417) 988-4933
Phone(417) 988-4933
Sole ProprietorYes
Enumeration DateOctober 6, 2025
NPPES CertifiedOctober 6, 2025
✔ NPI 1487529020 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 MO · 2023032695
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.
5105 CLARK LN APT 204, Columbia, MO 65202
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Jordan Kelley's NPI number?

The NPI number for Jordan Kelley is 1487529020. It was assigned to this individual provider in the NPPES registry on October 6, 2025.

Where is Jordan Kelley located?

Jordan Kelley practices at 5105 Clark Ln Apt 204, Columbia, MO 65202. The listed phone number is (417) 988-4933.

What is Jordan Kelley'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 Jordan Kelley was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.