Individual provider · Type 1 NPI

Dejon Paul Kelly

Massage Therapist · Commack, NY

NPI number 1396660874 Active

Practice location

340 Veterans Memorial Hwy Ste 10
Commack, NY 11725-4300

Call (516) 585-7478 Map

Mailing address

11809 201st Pl
St. Albans, NY 11412-3530

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X030052 (NY)

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 1396660874

Dejon Paul Kelly's National Provider Identifier is 1396660874, issued on Aug 12, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Commack, NY. The record was last updated on Aug 12, 2026.