Individual provider · Type 1 NPI
Kelli L. Puckett, LMT
Massage Therapist · Eminence, KY
NPI number
1053144485
Active
Practice location
11 Depot Ave
Eminence, KY 40019-1157
Mailing address
76 Quail Hollow Rd
Eminence, KY 40019-1247
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 107811 (KY) |
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.
About NPI 1053144485
Kelli L. Puckett, LMT's National Provider Identifier is 1053144485, issued on Aug 21, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Eminence, KY. The record was last updated on Aug 21, 2024.