Individual provider · Type 1 NPI

Kelly Marie Martin, CMT

Massage Therapist · Anaheim, CA

NPI number 1508612516 Active

Practice location

6200 E Canyon Rim Rd Ste 208D
Anaheim, CA 92807-4317

Mailing address

805 S Plymouth Pl
Anaheim, CA 92806-4533

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X2340 (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 1508612516

Kelly Marie Martin, CMT's National Provider Identifier is 1508612516, issued on Apr 29, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Anaheim, CA. The record was last updated on Apr 29, 2024.