person
Mr. Johnie M. Kelly JR., CACMT
Massage Therapist in Los Altos, California
NPI 1043809023

Johnie M. Kelly JR. is a Massage Therapist based in Mountain View, CA. Johnie M. Kelly JR. practices in Los Altos, CA and has the professional credentials of CACMT. The NPI Number for Johnie M. Kelly JR. is 1043809023 and holds a License No. 1148 (California).

The current practice location address for Johnie M. Kelly JR. is 895 Sherwood Ave Ste 101, Los Altos, CA and can be reached out via phone at 650-810-6582.

Location: 895 Sherwood Ave Ste 101, Los Altos, CA, 94043-4204
person
Provider Profile Details
NPI Number
1043809023
Provider Name
Johnie M. Kelly JR.
Credential
CACMT
Provider Entity Type
Individual
Gender
Male
Address
895 Sherwood Ave Ste 101, Los Altos, CA, 94043-4204
Phone Number
650-810-6582
Fax Number
Provider Enumeration Date
01/13/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
895 Sherwood Ave Ste 101
City
State
Zip
94022-1344
Phone Number
650-810-6582
Fax Number
person
Provider Business Mailing Address Details
Address
895 Sherwood Ave Ste 101
City
State
Zip
94022-1344
Phone Number
650-810-6582
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
1148 (California)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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