Individual provider · Type 1 NPI

Kelly Jo Emerson, LMT

Massage Therapist · Sandpoint, ID

NPI number 1215443668 Active

Practice location

51 Pine St, Unit G
Sandpoint, ID 83864

Mailing address

639 Forest Knolls Dr
Sandpoint, ID 83864-5283

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000XMAS
Massage Therapist Primary 225700000XMAS (ID)

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 1215443668

Kelly Jo Emerson, LMT's National Provider Identifier is 1215443668, issued on Dec 21, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Sandpoint, ID. The record was last updated on Dec 21, 2017.