Individual provider · Type 1 NPI

Audra Kelly, LMT, CLT

Massage Therapist · Phoenix, AZ

NPI number 1003783168 Active

Practice location

137 E Surrey Ave
Phoenix, AZ 85022-5224

Call (951) 240-0023 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT-27547 (AZ)

Massage Therapist: 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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About NPI 1003783168

Audra Kelly, LMT, CLT's National Provider Identifier is 1003783168, issued on Oct 22, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Phoenix, AZ. The record was last updated on Oct 22, 2025.