MEDICARE: KELLY MORGAN LMT

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
1	225700000X	Massage Therapist	MASS.MA.70063724	WA

General Provider Information

NPI Number	:	1912860446
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELLY MORGAN LMT

Provider Business Mailing Address
First Line	:	8305 31ST AVE NW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98117-3947
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5355 TALLMAN AVE NW STE 214-217
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98107-3935
Country	:	US
Telephone Number	:	206-675-1740
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/03/2025
Last Update Date	:	12/03/2025

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Directions to “ KELLY MORGAN LMT” Practice Location

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