Individual
KODI KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
308 W PINE ST STE 150, MISSOULA, MT 59802-1020
(406) 926-1881
Mailing address
13320 TURAH RD, CLINTON, MT 59825-9766
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-LMT-LIC-31979
MT
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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