Individual provider · Type 1 NPI
Kelly Marie Kolb, LMT
Massage Therapist · Glendale, AZ
NPI number
1174020440
Active
Practice location
6615 W Happy Valley Rd Ste B108
Glendale, AZ 85310-2608
Mailing address
3158 W Hartford Dr
Phoenix, AZ 85053-1820
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT06563 (AZ) |
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 1174020440
Kelly Marie Kolb, LMT's National Provider Identifier is 1174020440, issued on Apr 12, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Glendale, AZ. The record was last updated on Apr 12, 2018.