KATE KELLY LMT NPI 1275042673

NPI Information

  • NPI: 1275042673
  • Provider Name: KATE KELLY, LMT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 3934 NE MLK BLVD STE 108
    PORTLAND, OR
    ZIP 97212
  • Phone: (503) 381-1380

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NPI Details

Kate Kelly, LMT is a massage therapist in Portland, OR. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Kate Kelly, LMT NPI is 1275042673. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3934 NE MLK BLVD STE 108
PORTLAND, OR
ZIP 97212-153
Phone: (503) 381-1380

The enumeration date for this NPI number is 9/28/2017 and was last updated on 9/28/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage Therapist22806OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
122806OTHEROREGONLMT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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