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
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 0019019882 (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.