DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JOHNIE M. KELLY JR., CACMT

Active Sole Proprietor

MR. JOHNIE M. KELLY JR., CACMT is a Massage Therapist healthcare provider located in LOS ALTOS, California. NPI 1043809023 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · LOS ALTOS, CA

Registration Details

NPI Number
1043809023
Provider Type
Individual
Gender
Male
NPI Issued
Jan 13, 2021 (5.5645377119903 yrs)
Last Updated
Jan 13, 2021
License
1148 (CA)
Sole Proprietor
Yes

Practice Information

Address
895 SHERWOOD AVE STE 101
LOS ALTOS, CA, 940221344
Browse CA providers · Browse ZIP 94022
Phone
6508106582
Primary Specialty
Massage Therapist
225700000X

Other Massage Therapist Providers in LOS ALTOS, CA

Name Credential NPI
DEBORAH CAROL LOEFFLER CMT NCTMB 1427116391
MRS. NANCY L WETMORE CMT 1255545463
MICHAELA ANDRONIC 1790938231
STEVEN A WARNER MT 1447487962
VIVIAN QUUJUAN YANG CMT 1124786272
BRENDA CRUDEN CMT, ANMT 1740930684
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.