Individual provider · Type 1 NPI

Kelly Ann Konicki, LMT, CLT

Massage Therapist · Johns Creek, GA

NPI number 1346076015 Active

Practice location

11180 State Bridge Road, Suite 404
Johns Creek, GA 30022-7482

Call (678) 871-7940 Map

Mailing address

1405 Treeridge Pkwy
Alpharetta, GA 30022-2830

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT002856 (GA)

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.

Other massage therapist providers in Johns Creek

See all in Johns Creek →

About NPI 1346076015

Kelly Ann Konicki, LMT, CLT's National Provider Identifier is 1346076015, issued on Sep 10, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Johns Creek, GA. The record was last updated on Apr 22, 2025.