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

Kelly Clark, LMT

Individual provider Massage Therapist · NPI 1134966567

Kelly Clark, LMT is a Massage Therapist in Ann Arbor, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
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

4488 Jackson Rd Ste 2A
Ann Arbor, MI 48103-1812
Phone: (734) 260-7235
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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 7501007777 (MI)

Record details

NPI number1134966567
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedJuly 12, 2024
Last updated in NPPESJuly 12, 2024
Certification dateJuly 12, 2024
Mailing address509 Little Lake Dr, Ann Arbor, MI 48103-6224

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