Individual provider · Type 1 NPI
Shana Geneva Kelly, LMT
Massage Therapist · Baton Rouge, LA
NPI number
1760237747
Active
Practice location
9229 Bluebonnet Blvd Ste B
Baton Rouge, LA 70810-2808
Mailing address
9317 Monhegan Ave
Baker, LA 70714-7014
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | LA8710 (LA) |
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 1760237747
Shana Geneva Kelly, LMT's National Provider Identifier is 1760237747, issued on Apr 22, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Baton Rouge, LA. The record was last updated on Apr 22, 2024.