Individual
MARK J KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MT, AP, BA
Contact information
Practice address
3490 LINDEN AVE STE 3, LONG BEACH, CA 90807-4559
(323) 229-2930
Mailing address
255 NEWPORT AVE, LONG BEACH, CA 90803-5922
(562) 619-0327
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
98554
CA
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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