MR. Johnie M. Kelly JR., CACMT
NPI #1043809023 in Los Altos, California
Provider Information
- NPI Number
- 1043809023
- Entity Type
- Individual
- Name
- MR. Johnie M. Kelly JR., CACMT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- CACMT
- Enumeration Date
- Jan 13, 2021
- Last Updated
- Jan 13, 2021
Practice Location
- Address
- 895 SHERWOOD AVE STE 101
- City
- Los Altos
- State
- California
- ZIP Code
- 94022-1344
- Phone
- (650) 810-6582
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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