IndividualActive
Kelly Mathis
NPI 1104436211 · Massage Therapist · Rock Springs, WY
Provider details
- NPI number
- 1104436211
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
Practice location
617 Broadway St Ste C
Rock Springs, WY 82901-6380
Phone: (307) 382-8661
Mailing address
3448 Dover Ave
Rock Springs, WY 82901-5776
Registry dates
- Enumerated
- 2020-08-04
- Last updated
- 2020-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.