Individual provider · Type 1 NPI
Kellie Victoria King, L.M.T.
Massage Therapist · Opp, AL
NPI number
1609245034
Active
Practice location
1800 West Cummings Avenue
Opp, AL 36467
Mailing address
601 Dixie Dr
Enterprise, AL 36330-1405
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 2926 (AL) |
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.
About NPI 1609245034
Kellie Victoria King, L.M.T.'s National Provider Identifier is 1609245034, issued on Sep 16, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Opp, AL. The record was last updated on Sep 16, 2015.