Kelly Jo Emerson, LMT

NPI #1215443668 in Sandpoint, Idaho

Provider Information

NPI Number: 1215443668
Entity Type: Individual
Name: Kelly Jo Emerson, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Dec 21, 2017
Last Updated: Dec 21, 2017

Practice Location

Address: 51 PINE ST
Address 2: UNIT G
City: Sandpoint
State: Idaho
ZIP Code: 83864
Phone: (208) 502-0728

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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