Individual provider · Type 1 NPI
Kaylie Long, LMT
Massage Therapist · Sudan, TX
NPI number
1174499487
Active
Practice location
410 E 3rd Ave
Sudan, TX 79371-2426
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT139739 (TX) |
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.
About NPI 1174499487
Kaylie Long, LMT's National Provider Identifier is 1174499487, issued on Oct 14, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Sudan, TX. The record was last updated on Oct 14, 2025.