Crystal Kelley
Massage Therapist in Salem, OR. Individual provider (NPI-1).
NPI number1942767553
StatusActive
Last updated in NPPESMay 30, 2024
Details
- NPI
- 1942767553
- Entity type
- Individual (NPI-1)
- Name
- Crystal Kelley
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 1, 2019
- Certification date
- May 30, 2024
- Last updated
- May 30, 2024
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 | 24803 | OR | Yes |
Practice location
440 Church St Se #pa6-403Salem, OR 97312
Phone 503-569-5339
Mailing address
4435 Pacifica Way Ne Apt 103Salem, OR 97305-2862
Phone 503-569-5339
Other practice locations
1661 Edgewater St Nw
Salem, OR 97304-4711
Salem, OR 97304-4711
Phone 503-569-5339
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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