Individual provider · Type 1 NPI
Kelly Donovan
Massage Therapist · Brick, NJ
NPI number
1154935385
Active
Practice location
674 Overlook Ct
Brick, NJ 08724-1133
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 18KT01287900 (NJ) |
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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- Graciela Maria Mora Mora, MASSAGE THERAPISTMassage Therapist Brick, NJ NPI 1801625728
About NPI 1154935385
Kelly Donovan's National Provider Identifier is 1154935385, issued on Sep 4, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Brick, NJ. The record was last updated on Sep 4, 2020.