Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY CANNON
Active Sole ProprietorKELLY CANNON is a Massage Therapist healthcare provider located in PLAINFIELD, New Jersey. NPI 1801494844 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · PLAINFIELD, NJ
Registration Details
- NPI Number
- 1801494844
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 13, 2020 (5.8729152858142 yrs)
- Last Updated
- Jan 10, 2025
- License
-
18KT01217200 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
83 BROKAW BLVDPLAINFIELD, NJ, 070631067Browse NJ providers · Browse ZIP 07063
- Phone
- 8563839831
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in PLAINFIELD, NJ
| Name | Credential | NPI |
|---|---|---|
| ADJOA HINTON | — | 1720889876 |
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.