NPI 1104436211

Kelly Mathis

Practitioner Massage Therapist Rock Springs, WY

Practice location

Address: 617 Broadway St STE C, Rock Springs, WY 82901-6380
Phone: (307) 382-8661
Mailing address: 3448 Dover Ave, Rock Springs, WY 82901-5776

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X

Other Massage Therapist providers in Wyoming →

Registry record

NPI: 1104436211
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Aug 2020
Record last updated: 4 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.