Kelly Gallagher, LMT

Individual provider Active NPI Massage Therapist · Middleton, MA

NPI 1033434352 · NPPES record last updated Mar 30, 2010

Key facts

NPI
1033434352
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
1803 (MA)
Practice address
92 S Main St
Middleton, MA 01949-2211
Phone
(978) 774-6100
NPI assigned
Mar 30, 2010
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Platinum Elements Inc Massage Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 1803 MA Yes

Addresses

Primary practice location

92 S Main St
Middleton, MA 01949-2211

Mailing address

92 S Main St
Middleton, MA 01949-2211
Phone (978) 774-6100

Other providers in Middleton, MA

All providers in Middleton, MA · Massage Therapist in Massachusetts

Sources for this page

Verify at the official NPI Registry.