Individual provider · Type 1 NPI
Kelly Gray, LMT
Massage Therapist · Hampton, IL
NPI number
1891043675
Active
Practice location
510 State Ave Ste 3
Hampton, IL 61256-9690
Mailing address
29 Shady Bch
Geneseo, IL 61254-9106
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 227.011622 (IL) |
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.
Other massage therapist providers in Hampton
About NPI 1891043675
Kelly Gray, LMT's National Provider Identifier is 1891043675, issued on Aug 27, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Hampton, IL. The record was last updated on Aug 27, 2012.