Kellen Elizabeth Sobiech, LMT
Individual provider Active NPI Massage Therapist · Gap, PA
NPI 1003536723 · NPPES record last updated Sep 1, 2022
Key facts
- NPI
- 1003536723
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MSG005916 (PA)
- Practice address
- 923 Route 41
Gap, PA 17527-9601 - Phone
- (484) 294-5639
- NPI assigned
- Sep 1, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MSG005916 | PA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist |
225700000X | MSG005916 | PA | Yes |
Addresses
Primary practice location
923 Route 41
Gap, PA 17527-9601
Mailing address
PO Box 551
Gap, PA 17527-0551
Phone (484) 394-5639
Other providers in Gap, PA
- Om Saidev LLC
- Om Saidev LLC
- Pequea Valley Community Medicine
- Connie D. Rita
- Roger Kenneth Smith
- Shawn Michael Stanislaw
- Valjean Marie Stead
- The Eye Care Connection, Inc.
- Amy Thompson
- Robert C Tindall
All providers in Gap, PA · Massage Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.