Individual provider · Type 1 NPI

Lisa J. Kellim, LMT

Massage Therapist · Kamiah, ID

NPI number 1225335144 Active

Practice location

1102 3rd St
Kamiah, ID 83536-5333

Fax (208) 935-1728

Mailing address

PO Box 1508
Kamiah, ID 83536-8500

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT-05752 (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 1225335144

Lisa J. Kellim, LMT's National Provider Identifier is 1225335144, issued on Feb 14, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Kamiah, ID. The record was last updated on Feb 14, 2011.