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Kelly Graham, LMT
Massage Therapist in Lehigh Acres, Florida
NPI 1255584603

Kelly Graham is a Massage Therapist based in Lehigh Acres, FL. Kelly Graham practices in Lehigh Acres, FL and has the professional credentials of LMT. The NPI Number for Kelly Graham is 1255584603 and holds a License No. MA0023317 (Florida).

The current practice location address for Kelly Graham is 400 Lee Blvd, Lehigh Acres, FL and can be reached out via phone at 239-369-9986 and via fax at 239-368-0986.

Location: 400 Lee Blvd, Lehigh Acres, FL, 33936-4923
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255584603
Provider Name
Kelly Graham
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
400 Lee Blvd, Lehigh Acres, FL, 33936-4923
Phone Number
239-369-9986
Fax Number
239-368-0986
Provider Enumeration Date
10/29/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C2140 01 FL BLUE CROSS BLUE SHIELD PROVIDER
institution
Provider Business Practice Location Address Details
Address
400 Lee Blvd
City
Lehigh Acres
State
Florida
Zip
33936-6829
Phone Number
239-369-9986
Fax Number
239-368-0986
person
Provider Business Mailing Address Details
Address
400 Lee Blvd
City
Lehigh Acres
State
Florida
Zip
33936-6829
Phone Number
239-369-9986
Fax Number
239-368-0986
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA0023317 (Florida)
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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