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KELLY MARIE SEVERSON
NPI 1538486428
Massage Therapist in Blaine, MN

Active since May 01, 2010
1061 109TH AVE NE STE D, BLAINE, MN 55434(612) 203-4835 Get Directions Write a Review

NPPES record last updated: May 1, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Marie Severson NPPES

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

KELLY MARIE SEVERSON (NPI 1538486428) is an individual massage therapist in Blaine, Minnesota and active in the NPI registry since May 2010.

NPPES Registry Identity

NPI1538486428
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameKELLY MARIE SEVERSON
Location Address1061 109TH AVE NE STE DBlaine, MN 55434-3847
Mailing Address1061 109th Ave Ne Ste DBlaine, MN 55434-3847 · (612) 203-4835
Phone(612) 203-4835
Sole ProprietorNo
Enumeration DateMay 1, 2010
✔ NPI 1538486428 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
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.
1061 109TH AVE NE STE D, Blaine, MN 55434
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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.

PAUL ZAMORA
Massage Therapist
1061 109TH AVE NE STE D
BLAINE, MN 55434
Anoka County (763) 208-4562
SARAH JOY KARMAN
Massage Therapist
1061 109TH AVE NE STE D
BLAINE, MN 55434
Anoka County (763) 208-4562

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 Severson's NPI number?

The NPI number for Kelly Severson is 1538486428. It was assigned to this individual provider in the NPPES registry on May 1, 2010.

Where is Kelly Severson located?

Kelly Severson practices at 1061 109th Ave NE Ste D, Blaine, MN 55434. The listed phone number is (612) 203-4835.

What is Kelly Severson'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 Severson was last updated on May 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.