Kelly Konicki, LMT, CLT

NPI 1346076015 · on the registry since 2024

Practice

Address: 11180 State Bridge Road
Suite 404
Johns Creek, GA 30022
Phone: (678) 871-7940
Organisation at this address: Divine Medicine Llc
Northwoods Clinic Llc
Doctor'S Hearing Center, Inc.
Holistic Medical Services United Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: Massage Therapist
225700000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-04-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia