Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY M CAVANAUGH, LMT, CMLDT
ActiveKELLY M CAVANAUGH, LMT, CMLDT is a Massage Therapist healthcare provider located in DYER, Indiana. NPI 1073007548 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · DYER, IN
Registration Details
- NPI Number
- 1073007548
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 19, 2018 (8.1121254977862 yrs)
- Last Updated
- Jun 19, 2018
- License
-
MT21505529 (IN)
Practice Information
- Address
-
425 JOLIET ST STE 212DYER, IN, 463111766Browse IN providers · Browse ZIP 46311
- Phone
- 2193819772
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in DYER, IN
| Name | Credential | NPI |
|---|---|---|
| THOMAS J CAVANAUGH | LMT | 1770076309 |
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.