Healthcare Provider Details

I. General information

NPI: 1851218291
Provider Name (Legal Business Name): KELLY ANN FOX LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1105 TAYLORSVILLE RD STE 315
WASHINGTON CROSSING PA
18977-1158
US

IV. Provider business mailing address

1094 LITTLE RD
WASHINGTON CROSSING PA
18977-1314
US

V. Phone/Fax

Practice location:
  • Phone: 215-622-5192
  • Fax:
Mailing address:
  • Phone: 215-622-5192
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number20357
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMSG006611
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: