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Kelly Marie Carpenter, CMT
Massage Therapist in San Jose, California
NPI 1437641834

Kelly Marie Carpenter is a Massage Therapist based in San Jose, CA. Kelly Marie Carpenter practices in San Jose, CA and has the professional credentials of CMT. The NPI Number for Kelly Marie Carpenter is 1437641834 and holds a License No. 75185 (California).

The current practice location address for Kelly Marie Carpenter is 2075 Lincoln Ave, San Jose, CA and can be reached out via phone at 669-235-7754.

Location: 2075 Lincoln Ave, San Jose, CA, 95155-8036
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437641834
Provider Name
Kelly Marie Carpenter
Credential
CMT
Provider Entity Type
Individual
Gender
Female
Address
2075 Lincoln Ave, San Jose, CA, 95155-8036
Phone Number
669-235-7754
Fax Number
Provider Enumeration Date
05/31/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2075 Lincoln Ave
City
San Jose
State
California
Zip
95125-3513
Phone Number
669-235-7754
Fax Number
person
Provider Business Mailing Address Details
Address
2075 Lincoln Ave
City
San Jose
State
California
Zip
95125-3513
Phone Number
669-235-7754
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
75185 (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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