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

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT06563 (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.