DEJON PAUL KELLY NPI 1396660874

NPI Information

  • NPI: 1396660874
  • Provider Name: DEJON PAUL KELLY
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 340 VETERANS MEMORIAL HWY STE 10
    COMMACK, NY
    ZIP 11725
  • Phone: (516) 585-7478

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NPI Details

Dejon Paul Kelly is a massage therapist in Commack, NY. 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. Dejon Paul Kelly NPI is 1396660874. The provider is registered as an individual entity type.

The provider's business location address is:

340 VETERANS MEMORIAL HWY STE 10
COMMACK, NY
ZIP 11725-300
Phone: (516) 585-7478

The enumeration date for this NPI number is 8/12/2026 and was last updated on 8/12/2026.

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 Therapist030052NEW YORKYes

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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