Individual provider · Type 1 NPI
Kelly M. Cavanaugh, LMT, CMLDT
Massage Therapist · Dyer, IN
NPI number
1073007548
Active
Practice location
425 Joliet St Ste 212
Dyer, IN 46311-1766
Mailing address
618 214th St
Dyer, IN 46311-1508
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT21505529 (IN) |
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.
Another provider at this address
Other massage therapist providers in Dyer
About NPI 1073007548
Kelly M. Cavanaugh, LMT, CMLDT's National Provider Identifier is 1073007548, issued on Jun 19, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Dyer, IN. The record was last updated on Jun 19, 2018.