NPI 1245582527

Kelly Johnson

Practitioner Massage Therapist Carmel, IN

Practice location

Address: 10385 Commerce Dr Suite22, Carmel, IN 46032-7630
Phone: (317) 660-1342
Mailing address: 3528 Alpine Pl, Indianapolis, IN 46226-6441

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MT20902165 (IN)

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Registry record

NPI: 1245582527
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Oct 2012
Record last updated: 10 Oct 2012

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.