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

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60659959 (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.