Individual provider · Type 1 NPI

Kelly Nevala, LMT

Massage Therapist · Virginia Beach, VA

NPI number 1104669902 Active

Practice location

195 S Rosemont Rd Ste 105
Virginia Beach, VA 23452-4353

Mailing address

1033 Rolling Point Ct
Virginia Beach, VA 23456-6371

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X0019019882 (VA)

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 1104669902

Kelly Nevala, LMT's National Provider Identifier is 1104669902, issued on Jun 18, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Virginia Beach, VA. The record was last updated on Jun 18, 2024.