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Kelly Cannon
Massage Therapist in Plainfield, New Jersey
NPI 1801494844

Kelly Cannon is a Massage Therapist based in Plainfield, NJ. Kelly Cannon practices in Plainfield, NJ. The NPI Number for Kelly Cannon is 1801494844 and holds a License No. 18KT01217200 (New Jersey).

The current practice location address for Kelly Cannon is 83 Brokaw Blvd, Plainfield, NJ and can be reached out via phone at 856-383-9831.

Location: 83 Brokaw Blvd, Plainfield, NJ, 07063-1067
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801494844
Provider Name
Kelly Cannon
Credential
Provider Entity Type
Individual
Gender
Male
Address
83 Brokaw Blvd, Plainfield, NJ, 07063-1067
Phone Number
856-383-9831
Fax Number
Provider Enumeration Date
10/13/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
83 Brokaw Blvd
City
Plainfield
State
New Jersey
Zip
07063-1067
Phone Number
856-383-9831
Fax Number
person
Provider Business Mailing Address Details
Address
83 Brokaw Blvd
City
Plainfield
State
New Jersey
Zip
07063-1067
Phone Number
856-383-9831
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
18KT01217200 (New Jersey)
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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