Kelly, Johnie M.
Kelly, Johnie M. is an sole proprietor health care provider with primary practice located at 895 Sherwood Ave Ste 101 , Los Altos CA 94022-1344. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Kelly, Johnie M. can be contacted via phone (650) 810-6582.Contact Information
Primary practice address
895 Sherwood Ave Ste 101
Los Altos CA 94022-1344
Phone: (650) 810-6582
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 1148 | California |
Profile Details
| NPI number | 1043809023 |
|---|---|
| LBN Legal business name | Kelly, Johnie M. |
| Credentials | CACMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 13th, 2021 |
| Last updated | Jan 13th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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