Spencer G Kelliher, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61234383 Issued in WA

Practice address

303 Vera St
Mount Vernon, WA 98273-5251

Phone

(425) 231-7605

NPI assigned

Oct 28, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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 and National Provider Directory roles.

• Kelliher Massage Therapy LLC

  • Massage Therapist
  • Mount Vernon, WA
  • NPI 1740150531
  NPD Authorized official

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1750045332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 VERA ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982735251",
            "telephone_number": "425-231-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 VERA ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982735251",
            "telephone_number": "425-231-7605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLIHER",
        "first_name": "SPENCER",
        "middle_name": "G",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-28",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61234383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MASSAGE THERAPIST",
            "identifier": "MA61234383",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manjot Kaur, MD
• Camille Elise Keefe, MSW
• Jacquelyn Grace Keen, OTD
• Jennifer Keim, RN
• Kelliher Massage Therapy LLC
• Brian A. Kendregan, MD
• Sheila M Kenning, ARNP
• Kristi J Kersten-Tenborg
• Mathangi Suresh Keshavan, DO
• Kathleen Sharon Ketcham, M.A.,LMFT

• Massage Therapist in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; 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.