Kelly Cannon
Massage Therapist in Plainfield, New Jersey
1801494844- Practice location
- 83 Brokaw Blvd, Plainfield, NJ 07063-1067
- Phone
- 856-383-9831
- Fax
- —
- Last updated
- January 10, 2025
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 (NJ). The current practice location address for Kelly Cannon is 83 Brokaw Blvd, Plainfield, NJ 07063-1067 and can be reached out via phone at 856-383-9831.
Provider Profile Details
- NPI Number
- 1801494844
- Provider Name
- Kelly Cannon
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 83 Brokaw Blvd, Plainfield, NJ 07063-1067
- Phone Number
- 856-383-9831
- Primary Taxonomy
- Massage Therapist · 225700000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 13, 2020
- Last Update Date
- January 10, 2025
- Certification Date
- January 10, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 83 Brokaw Blvd
Plainfield, NJ 07063-1067 - City
- Plainfield
- State
- New Jersey
- Zip
- 07063-1067
- Phone Number
- 856-383-9831
Provider Business Mailing Address Details
- Address
- 15 Montrose Ln
Willingboro, NJ 08046-2803 - City
- Willingboro
- State
- NJ
- Zip
- 08046-2803
- Phone Number
- 856-383-9831
License Information
- License Number
- 18KT01217200
- License State
- NJ
- Taxonomy
- Massage Therapist · 225700000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Massage Therapists near Plainfield, NJ
View all Massage Therapists in Plainfield →- Adjoa HintonMassage Therapist · NPI 1720889876
- Clarity Wellness And Mental HealthRegistered Nurse, Psych/Mental Health · NPI 1801710165
- Ranada L Braswell, PMHNPRegistered Nurse, Psych/Mental Health · NPI 1992630206
- Chiamaka F Obadike, RNRegistered Nurse · NPI 1275432361
- Leslie M Del Salto De PenaNurse Practitioner, Family · NPI 1144142746
- Anthony Tirro, PT, DPTPhysical Therapist · NPI 1881458081
Frequently Asked Questions
What is the NPI number of Kelly Cannon?
The NPI number of Kelly Cannon is 1801494844. It was assigned on October 13, 2020 and is currently active in the NPPES registry.
What is the specialty of Kelly Cannon?
Kelly Cannon is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in NJ under license number 18KT01217200.
Where does Kelly Cannon practice?
The practice location is 83 Brokaw Blvd, Plainfield, NJ 07063-1067. The office can be reached at 856-383-9831 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1801494844 directly on the NPPES registry website.