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KELLY CANNON
NPI 1801494844
Massage Therapist in Plainfield, NJ

Active since October 13, 2020
83 BROKAW BLVD, PLAINFIELD, NJ 07063(856) 383-9831 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 10, 2025, Oct 13, 2020 (2 updates tracked since 2020).

About Kelly Cannon NPPES

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

KELLY CANNON (NPI 1801494844) is an individual massage therapist in Plainfield, New Jersey, licensed in New Jersey (18KT01217200) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1801494844
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameKELLY CANNON
Location Address83 BROKAW BLVDPlainfield, NJ 07063-1067
Mailing Address15 Montrose LnWillingboro, NJ 08046-2803 · (856) 383-9831
Phone(856) 383-9831
Sole ProprietorYes
Enumeration DateOctober 13, 2020
Last NPPES UpdateJanuary 10, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2025
✔ NPI 1801494844 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 NJ · 18KT01217200
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.
83 BROKAW BLVD, Plainfield, NJ 07063
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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 Cannon's NPI number?

The NPI number for Kelly Cannon is 1801494844. It was assigned to this individual provider in the NPPES registry on October 13, 2020.

Where is Kelly Cannon located?

Kelly Cannon practices at 83 Brokaw Blvd, Plainfield, NJ 07063. The listed phone number is (856) 383-9831.

What is Kelly Cannon'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 Cannon was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.