NPI 1417654435 · live from the CMS NPI Registry
Kelly Lewis, LMT, CPM, NCTMB, CCM
Massage Therapist in Overland Park, KS. National Provider Identifier 1417654435, active.
NPI record
| NPI | 1417654435 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 9200 Glenwood St Ste 101, Overland Park, KS 66212 |
| Practice phone | 913-424-8517 |
| Enumerated | February 9, 2023 |
| Last updated | February 9, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.