Individual provider · Type 1 NPI

Kellie L. Fuller, CMT, LMT

Massage Therapist · Farmington, NM

NPI number 1033354352 Active

Practice location

626 E Main St # 2
Farmington, NM 87401-2714

Call (505) 608-9908 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X5427 (NM)

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 1033354352

Kellie L. Fuller, CMT, LMT's National Provider Identifier is 1033354352, issued on Dec 16, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Farmington, NM. The record was last updated on Dec 16, 2008.