Individual provider · Type 1 NPI

Diamond Kelly, CMT

Massage Therapist · Oak Park, CA

NPI number 1972409449 Active

Practice location

6469 Pinion St
Oak Park, CA 91377-1210

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X104059 (CA)

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 1972409449

Diamond Kelly, CMT's National Provider Identifier is 1972409449, issued on Oct 20, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Oak Park, CA. The record was last updated on Oct 20, 2026.