KELLY LYNN ANDERSON MASSAGE THERAPIST
NPI 1942590138
Massage Therapist in Edina, MN

Active since April 09, 2011
1675 SOUTHDALE CTR, EDINA, MN 55435(952) 922-3600(952) 922-3600 Get Directions Write a Review

NPPES record last updated: April 9, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Massage Therapist

About KELLY ANDERSON

This page provides the complete NPI Profile along with additional information for Kelly Anderson, a provider established in Edina, Minnesota with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1942590138 assigned on April 2011. The practitioner's primary taxonomy code is 225700000X with license number 1210035749 (MN). The provider is registered as an individual and her NPI record was last updated 15 years ago.

NPI
1942590138 Verify this NPI
Provider Name
KELLY LYNN ANDERSON MASSAGE THERAPIST
Gender
Female
Entity Type
Individual
Location Address
1675 SOUTHDALE CTR EDINA, MN 55435
Location Phone
(952) 922-3600
Location Fax
(952) 922-3600
Mailing Address
1675 SOUTHDALE CTR EDINA, MN 55435
Mailing Phone
(952) 922-3600
Mailing Fax
(952) 922-3600
Is Sole Proprietor?
No
Enumeration Date
04-09-2011
Last Update Date
04-09-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Massage Therapist

Taxonomy Code
225700000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
1210035749
License State
MN
Taxonomy Description
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.

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Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Massage Therapist
1675 SOUTHDALE CTR
EDINA, MN 55435
Massage Therapist
1675 SOUTHDALE CTR
EDINA, MN 55435
Massage Therapist
1675 SOUTHDALE CTR, 1675 SOUTHDALE CENTER
EDINA, MN 55435
Massage Therapist
1675 SOUTHDALE CTR
EDINA, MN 55435
Massage Therapist
1675 SOUTHDALE CTR
EDINA, MN 55435
Massage Therapist
1675 SOUTHDALE CTR
EDINA, MN 55435
Massage Therapist
1675 SOUTHDALE CTR
EDINA, MN 55435

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942590138, enumerated as an "individual" on April 09, 2011.

The provider is located at 1675 SOUTHDALE CTR EDINA, MN 55435 and the phone number is (952) 922-3600.

Massage Therapist with taxonomy code 225700000X.