Shalane Kelly, LMP

Individual provider Active NPI Massage Therapist · Belfair, WA

NPI 1295976041 · NPPES record last updated Mar 7, 2009

Key facts

NPI
1295976041
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
Practice address
24160 NE State Route 3
Belfair, WA 98528-9626
Phone
(360) 205-3085
Fax
(360) 275-2007
NPI assigned
Mar 7, 2009
Sex
Female
Sole proprietor
Yes

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
Abel Wellness Center, LLC Massage Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X Yes

Addresses

Primary practice location

24160 NE State Route 3
Belfair, WA 98528-9626

Mailing address

PO Box 1300
Belfair, WA 98528-1300
Phone (360) 205-3085

Other providers in Belfair, WA

All providers in Belfair, WA · Massage Therapist in Washington

Sources for this page

Verify at the official NPI Registry.