Individual provider · Type 1 NPI

Charles Christopher Kelly, L.M.T

Massage Therapist · Columbia, SC

NPI number 1366765661 Active

Practice location

124 Arborgate Cir
Columbia, SC 29212-2465

Call (843) 870-8422 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMAS.6235 (SC)

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 1366765661

Charles Christopher Kelly, L.M.T's National Provider Identifier is 1366765661, issued on Mar 1, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Columbia, SC. The record was last updated on Mar 1, 2010.