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Contact Information

ELIZABETH C KELLEY, CST-T, CMT
531 MARSH ST STE A
SAN LUIS OBISPO, CA93401-3967
 Phone: 805-674-1307
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Massage Therapist

225700000X
 

Doula

374J00000X
 

Health & Wellness Coach

171400000X
 

Kinesiotherapist

226300000X
Indicates primary specialty

NPI Profile & details for ELIZABETH C KELLEY · (Female)

NPI Number 1265226427
Status Active
Credentials CST-T, CMT
Entity Individual
Enumeration date 04/04/2025
Last updated 10/15/2025 - About 8 months ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 31897
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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