Individual provider · Type 1 NPI

Kelly Davis Roberts, LMT

Massage Therapist · Lake City, FL

NPI number 1114742079 Active

Practice location

738 SW Main Blvd
Lake City, FL 32025-5768

Call (386) 400-3140 Map

Fax (386) 406-8013

Mailing address

434 SE Waldron Ter
Lake City, FL 32025-5529

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA64119 (FL)

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.

6 other providers at this address

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About NPI 1114742079

Kelly Davis Roberts, LMT's National Provider Identifier is 1114742079, issued on Nov 16, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lake City, FL. The record was last updated on Jun 19, 2025.