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NPI Code Detail

MEDICARE: KELLIHER MASSAGE THERAPY LLC

MEDICARE: KELLIHER MASSAGE THERAPY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist

General Provider Information

NPI Number : 1740150531
Entity Type Code : Organization
Provider Name (Legal Business Name) : KELLIHER MASSAGE THERAPY LLC
Provider Business Mailing Address
First Line : 303 VERA ST
Second Line :
City : MOUNT VERNON
State : WA
Zip : 98273-5251
Country : US
Telephone Number : 425-231-7605
Fax Number :
Provider Business Practice Location Address
First Line : 303 VERA ST
Second Line :
City : MOUNT VERNON
State : WA
Zip : 98273-5251
Country : US
Telephone Number : 425-231-7605
Fax Number :
Authorized Official
Title or Position : OWNER
Name : SPENCER G KELLIHER
Credential : LMT
Telephone Number : 425-231-7605
Provider Enumeration Date : 11/07/2025
Last Update Date : 11/07/2025

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Directions to “KELLIHER MASSAGE THERAPY LLC ” Practice Location

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