Individual provider · Type 1 NPI

Jordan M. Kelley, LMT

Massage Therapist · Columbia, MO

NPI number 1487529020 Active

Practice location

5105 Clark Ln Apt 204
Columbia, MO 65202-9876

Call (417) 988-4933 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X2023032695 (MO)

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 1487529020

Jordan M. Kelley, LMT's National Provider Identifier is 1487529020, issued on Oct 6, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Columbia, MO. The record was last updated on Oct 6, 2025.