Individual provider · Type 1 NPI

Mark J. Kelly, MT, AP, BA

Massage Therapist · Long Beach, CA

NPI number 1124901020 Active

Practice location

3490 Linden Ave Ste 3
Long Beach, CA 90807-4559

Mailing address

255 Newport Ave
Long Beach, CA 90803-5922

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X98554 (CA)

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 1124901020

Mark J. Kelly, MT, AP, BA's National Provider Identifier is 1124901020, issued on Jul 28, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Long Beach, CA. The record was last updated on Jul 28, 2025.