Individual
ELIZABETH CHRISTINE KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CST-T, CMT
Contact information
Practice address
531 MARSH ST STE A, SAN LUIS OBISPO, CA 93401-3967
(805) 674-1307
Mailing address
405 CALLISTO LN, NIPOMO, CA 93444-9656
(805) 674-1307
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
225700000X
Massage Therapist
Primary
31897
CA
226300000X
Kinesiotherapist
—
—
374J00000X
Doula
—
—
Other
Enumeration date
04/04/2025
Last updated
10/15/2025
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