Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Ann Konicki, LMT, CLT

Individual provider Massage Therapist · NPI 1346076015

Kelly Ann Konicki, LMT, CLT is a Massage Therapist in Johns Creek, Georgia. Licensed in Georgia. Registered with an NPI since 2024.

Licensed in
GA
In the registry since
2024
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

11180 State Bridge Rd Ste 404
Johns Creek, GA 30022-7482
Phone: (678) 871-7940
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MT002856 (GA)

Record details

NPI number1346076015
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT , CLT
Sole proprietorNo
NPI enumeratedSeptember 10, 2024
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025

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