Individual provider · Type 1 NPI
Kelly Jo Martindale, LMT
Massage Therapist · Roanoke, VA
NPI number
1811519119
Active
Practice location
3140 Chaparral Dr # C-109
Roanoke, VA 24018-4355
Mailing address
3205 Courtland Rd NW
Roanoke, VA 24012-7722
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 19012789 (VA) |
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 1811519119
Kelly Jo Martindale, LMT's National Provider Identifier is 1811519119, issued on May 11, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Roanoke, VA. The record was last updated on May 11, 2020.