Active NPI
Kellye Michelle Houck
- Massage Therapist
- Encino, CA
National Provider Identifier
1326965104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 96145
- Practice address
- 17000 Ventura Blvd Ste 102
Encino, CA 91316-4149 - Phone
- (928) 371-3885
- NPI assigned
- Jul 1, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 14765 | AZ | |
| Massage Therapist | 225700000X | 96145 | CA | Primary |
Addresses
Primary practice location
17000 Ventura Blvd Ste 102
Encino, CA 91316-4149
Mailing address
1785 W State Route 89a Ste 1D
Sedona, AZ 86336-5559
Phone (928) 371-3885
Other practice location 1
1785 W State Route 89A Ste 1D
Sedona, AZ 86336-5559
Phone (928) 371-3885
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1326965104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1785 W STATE ROUTE 89A STE 1D",
"city": "SEDONA",
"state": "AZ",
"postal_code": "863365559",
"telephone_number": "928-371-3885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17000 VENTURA BLVD STE 102",
"city": "ENCINO",
"state": "CA",
"postal_code": "913164149",
"telephone_number": "928-371-3885"
}
],
"practiceLocations": [
{
"address_1": "1785 W State Route 89A Ste 1D",
"address_purpose": "LOCATION",
"city": "Sedona",
"state": "AZ",
"postal_code": "863365559",
"country_code": "US",
"telephone_number": "928-371-3885",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOUCK",
"first_name": "KELLYE",
"middle_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-07-01",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AZ",
"license": "14765",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "CA",
"license": "96145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.