Dejon Paul Kelly

Massage Therapist · Commack, NY

Individual Active NPI

NPI number 1396660874

Practice location

340 Veterans Memorial Hwy Ste 10
Commack, NY 11725-4300
Phone
(516) 585-7478

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NPI record

NPI
1396660874
Entity type
Individual (Type 1)
Enumeration date
August 12, 2026
Last updated
August 12, 2026
Certified
August 12, 2026
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Massage Therapist Primary 225700000X 030052 NY

Mailing address

11809 201st Pl
Saint Albans, NY 11412-3530

About Dejon Kelly

Dejon Paul Kelly is a healthcare provider registered in the NPI registry with the primary taxonomy Massage Therapist (code 225700000X). The practice location is 340 Veterans Memorial Hwy Ste 10, Commack, NY 11725-4300. The NPI number 1396660874 was assigned on August 12, 2026 and the record was last updated on August 12, 2026.

Dejon Kelly lists a license in the registry: #030052 (NY) for Massage Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Dejon Paul Kelly?

The NPI number is 1396660874.

What is the phone number of Dejon Kelly?

The phone number listed for the practice location is (516) 585-7478.

Where is Dejon Kelly located?

340 Veterans Memorial Hwy Ste 10, Commack, NY 11725-4300.

What is the taxonomy code for Dejon Kelly?

The primary taxonomy code is 225700000X – Massage Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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