Individual provider · Type 1 NPI

Edward Kelly

Massage Therapist · Sioux Falls, SD

NPI number 1396456703 Active

Practice location

100 N Krohn Pl
Sioux Falls, SD 57103-1815

Mailing address

4001 W Mary Jo Pl Apt 116
Sioux Falls, SD 57108-3514

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT11949 (SD)

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 1396456703

Edward Kelly's National Provider Identifier is 1396456703, issued on Dec 6, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Sioux Falls, SD. The record was last updated on Dec 6, 2022.