Individual provider · Type 1 NPI
Kendra Dane Kelly
Massage Therapist · Tacoma, WA
NPI number
1962915629
Active
Practice location
3803 Yakima Ave
Tacoma, WA 98418-5020
Mailing address
12201 Nottingham Rd SW
Lakewood, WA 98498-1224
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA60659959 (WA) |
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 1962915629
Kendra Dane Kelly's National Provider Identifier is 1962915629, issued on Nov 15, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Tacoma, WA. The record was last updated on Nov 15, 2017.