Individual provider · Type 1 NPI
Kelly Anne Pender, LMT
Massage Therapist · Jersey City, NJ
NPI number
1205646015
Active
Practice location
30 Provost St
Jersey City, NJ 07302-5866
Mailing address
556 Ridge St
Newark, NJ 07104-1514
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 18KT01012100 (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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About NPI 1205646015
Kelly Anne Pender, LMT's National Provider Identifier is 1205646015, issued on Jan 13, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Jersey City, NJ. The record was last updated on Jan 13, 2025.