IndividualActive
Kelly Konicki, LMT, CLT
NPI 1346076015 · Massage Therapist · Johns Creek, GA
Provider details
- NPI number
- 1346076015
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT, CLT
- Sex
- Female
- Sole proprietor
- No
- License
- MT002856 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11180 State Bridge Road
Suite 404
Johns Creek, GA 30022-7482
Phone: (678) 871-7940
Street-level locationGet directions
Mailing address
1405 Treeridge Pkwy
Alpharetta, GA 30022-2830
Registry dates
- Enumerated
- 2024-09-10
- Last updated
- 2025-04-22
- Certified
- 2025-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.