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
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 2340 (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.