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
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 98554 (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.