Individual provider · Type 1 NPI

Kelly Cannon

Massage Therapist · Plainfield, NJ

NPI number 1801494844 Active

Practice location

83 Brokaw Blvd
Plainfield, NJ 07063-1067

Mailing address

15 Montrose Ln
Willingboro, NJ 08046-2803

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X18KT01217200 (NJ)

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 1801494844

Kelly Cannon's National Provider Identifier is 1801494844, issued on Oct 13, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Plainfield, NJ. The record was last updated on Jan 10, 2025.