Kristina Marie Kelly, LMT
Massage Therapist in Williamsburg, VA. Individual provider (NPI-1).
NPI number1093229387
StatusActive
Last updated in NPPESNov 22, 2017
Details
- NPI
- 1093229387
- Entity type
- Individual (NPI-1)
- Name
- Kristina Marie Kelly
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 22, 2017
- Last updated
- Nov 22, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 0019007628 | VA | Yes |
Practice location
504 Strawberry Plains RdWilliamsburg, VA 23188-3425
Phone 757-585-5524
Mailing address
110 Carrs Hill RdWilliamsburg, VA 23185-3003
Phone 757-585-5524
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