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Ms. Lisa J Kellim, LMT
Massage Therapist in Kamiah, Idaho
NPI 1225335144

Lisa J Kellim is a Massage Therapist based in Kamiah, ID. Lisa J Kellim practices in Kamiah, ID and has the professional credentials of LMT. The NPI Number for Lisa J Kellim is 1225335144 and holds a License No. MT-05752 (Idaho).

The current practice location address for Lisa J Kellim is 1102 3Rd St, Kamiah, ID and can be reached out via phone at 208-935-7702 and via fax at 208-935-1728.

Location: 1102 3Rd St, Kamiah, ID, 83536-8500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225335144
Provider Name
Lisa J Kellim
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
1102 3Rd St, Kamiah, ID, 83536-8500
Phone Number
208-935-7702
Fax Number
208-935-1728
Provider Enumeration Date
02/14/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1102 3Rd St
City
Kamiah
State
Idaho
Zip
83536-5333
Phone Number
208-935-7702
Fax Number
208-935-1728
person
Provider Business Mailing Address Details
Address
1102 3Rd St
City
Kamiah
State
Idaho
Zip
83536-5333
Phone Number
208-935-7702
Fax Number
208-935-1728
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MT-05752 (Arizona)
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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