Audra Kelly, LMT, CLT

NPI #1003783168 in Phoenix, Arizona

Provider Information

NPI Number: 1003783168
Entity Type: Individual
Name: Audra Kelly, LMT, CLT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT, CLT
Enumeration Date: Oct 22, 2025
Last Updated: Oct 22, 2025

Practice Location

Address: 137 E SURREY AVE
City: Phoenix
State: Arizona
ZIP Code: 85022-5224
Phone: (951) 240-0023

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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