Mr Johnie M Kelly Jr, CACMT - Massage Therapist in Los Altos, CA

Mr Johnie M Kelly Jr, CACMT is a Massage Therapist based in Los Altos, California. Mr Johnie M Kelly Jr is licensed to practice in California (license number 1148) and his current practice location is 895 Sherwood Ave Ste 101, Los Altos, California. He can be reached at his office (for appointments etc.) via phone at (650) 810-6582.

NPI number for Mr Johnie M Kelly Jr is 1043809023 and his current mailing address is 171 Hamilton Ave, Mountain View, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043809023.

Contact Information

Mr Johnie M Kelly Jr, CACMT
895 Sherwood Ave Ste 101,
Los Altos, CA 94022-1344
(650) 810-6582
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Johnie M Kelly Jr
GenderMale
SpecialityMassage Therapist
Location895 Sherwood Ave Ste 101, Los Altos, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043809023
  • Provider Enumeration Date: 01/13/2021
  • Last Update Date: 01/13/2021

Medical Identifiers

Medical identifiers for Mr Johnie M Kelly Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043809023NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225700000XMassage Therapist 1148 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Johnie M Kelly Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Johnie M Kelly Jr, CACMT
171 Hamilton Ave,
Mountain View, CA 94043-4204

Ph: (650) 810-6582
Mr Johnie M Kelly Jr, CACMT
895 Sherwood Ave Ste 101,
Los Altos, CA 94022-1344

Ph: (650) 810-6582

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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