Individual provider · Type 1 NPI

Kelly Marie Carpenter, CMT

Massage Therapist · San Jose, CA

NPI number 1437641834 Active

Practice location

2075 Lincoln Ave
San Jose, CA 95125-3513

Call (669) 235-7754 Map

Mailing address

PO Box 8036
San Jose, CA 95155-8036

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X75185 (CA)

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 1437641834

Kelly Marie Carpenter, CMT's National Provider Identifier is 1437641834, issued on May 31, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in San Jose, CA. The record was last updated on May 31, 2018.