Individual provider · Type 1 NPI

Kelli Rae Logan, LMT/ PTA

Massage Therapist · Plymouth, MA

NPI number 1871813360 Active

Practice location

74 Long Pond Rd
Plymouth, MA 02360

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X8691 (MA)

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 1871813360

Kelli Rae Logan, LMT/ PTA's National Provider Identifier is 1871813360, issued on Jun 7, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Plymouth, MA. The record was last updated on Jun 7, 2010.