Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Johnnette Du Rand Kelly, MT, CMLDT

Individual provider Massage Therapist · NPI 1720685639

Johnnette Du Rand Kelly, MT, CMLDT is a Massage Therapist in Newport Beach, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
What do these letters mean?
MT — Medical Technologist
Performs laboratory testing on clinical specimens.

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Practice location Address checks out

116 38th St
Newport Beach, CA 92663-2918
Phone: (949) 439-0282
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 23606 (CA)

Record details

NPI number1720685639
Entity typeIndividual (Type 1)
GenderFemale
Credentials MT , CMLDT
Sole proprietorYes
NPI enumeratedOctober 4, 2020
Last updated in NPPESOctober 4, 2020
Certification dateOctober 4, 2020

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