Christopher Kelly, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60195561 Issued in WA

Practice address

515 Harrison Ave Ste a
Centralia, WA 98531-1300

Phone

(360) 870-2473

Fax

(360) 312-4204

NPI assigned

May 24, 2022

Last updated

May 24, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Freeborn Wellness, PLLC

  • Occupational Therapist
  • Lacey, WA
  • NPI 1518324649
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1063150506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 HARRISON AVE STE A",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985311300",
            "telephone_number": "360-870-2473",
            "fax_number": "360-312-4204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 HARRISON AVE STE A",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985311300",
            "telephone_number": "360-870-2473",
            "fax_number": "360-312-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "CHRISTOPHER",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60195561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Marie Keith, MIT, M.ED, BCBA
• Margaret Mary Kelleher, PSYD
• Yvonne Keller
• Kelley Powers Audiology, P.S.
• Autumn Marie Kellogg
• Steven Craig Kendall
• Alexzander Euegene Kennedy
• Madison Ketchum
• Keysar Center of Massage for the Medically Fragile
• Kids Dental of Centralia, P.C.

• Massage Therapist in Centralia, WA
• Providers in Centralia, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.