KALEY JO TAYLOR (NPI# 1003423765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003423765 |
| Entity Type | Individual |
| Full Name | KALEY JO TAYLOR |
| Credential | LMT |
| Practice Address |
808 Charles St Port Orange FL 32129-3824 |
| Practice Telephone | 3866799419 |
| Mailing Telephone | 3866799419 |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-09-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 95724 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
808 CHARLES ST |
| City | PORT ORANGE |
| State | FL |
| Zip Code | 32129-3824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982179818 | Port Orange Modern Dentistry, Pa | Dentist | 1765 Dunlawton Ave., Suite 103, Port Orange, FL 32129 | 2018-10-08 |
| 1932698131 | Brittany Michele Claude | Behavioral Analyst | 4647 Clyde Morris Blvd Suite 501, Port Orange, FL 32129 | 2018-05-03 |
| 1760919468 | Makayla Earl | Behavior Technician | 1557 Town Park Dr., Port Orange, FL 32129 | 2017-05-12 |
| 1184157968 | Katie Lynn Weisz | Physician Assistant | 3635 South Clyde Morris Blvd, Suite 100, Port Orage, FL 32129 | 2017-04-07 |
| 1285178319 | Mallory Driggers | Counselor | 980 Canal View Blvd Apt F7, Port Orange, FL 32129 | 2016-12-08 |
| 1912321654 | Edward L. Staudt Dds & Kenneth L. Staudt Dds, Mph | Dentist | 944 Bridgewater Dr., Suite 2-b, Port Orange, FL 32129 | 2014-02-18 |
| 1538411731 | Roberta Ann Gilmartin | Specialist | 1048 W Samms Ave, Port Orange, FL 32129 | 2012-10-11 |
| 1679892996 | Pamela Kirby Pa | Clinic/Center | 4606 South Clyde Morris Boulevard, Suite 1j, Port Orange, FL 32129 | 2010-05-26 |
| 1326376385 | Connie Jeanne Bodnarik | Physical Therapy Assistant | 3780 S Clyde Morris Blvd Apt 1206, Port Orange, FL 32129 | 2009-12-02 |
| 1669645057 | American Family & Sports Chiropractic Center Inc | Chiropractor | 4649 Clyde Morris Blvd Unit 609, Port Orange, FL 32129 | 2008-04-08 |
| Find all providers in zip 32129 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918179 | Karen Lugo Morales | Massage Therapist | 1394 Dunlawton Ave, Apartment 505, Port Orange, FL 32127 | 2020-09-30 |
| 1528563756 | Adrianne T Miller | Massage Therapist | 5656 Isabelle Ave Ste 6, Port Orange, FL 32127-6255 | 2018-03-28 |
| 1467736892 | William Franklin Christen | Massage Therapist | 909 Timberwood Dr, Port Orange, FL 32127-4859 | 2011-10-04 |
| 1164747374 | Angela Marie Tague | Massage Therapist | 3106 Waterway Pl, Port Orange, FL 32128-7238 | 2010-03-30 |
| 1689996852 | Marcie Rachele Lebrun | Massage Therapist | 3620 Caramel Ave, #69, Port Orange, FL 32129-6606 | 2010-02-15 |
| 1306173588 | Aaron R. M. Duncan | Massage Therapist | 3493 Winchester Dr, Port Orange, FL 32129-3144 | 2009-11-10 |
| 1265683510 | Amanda J Diaz | Massage Therapist | 403 Lafayette St, Port Orange, FL 32127-4437 | 2008-10-06 |
| 1376701086 | Roberta Anne Hoag | Massage Therapist | 207 Brittany Ave, Port Orange, FL 32127-5914 | 2008-05-29 |
| 1104084300 | Ladon Stacy Lewis | Massage Therapist | 3650 Nantucket Island Dr, Apt. 101, Port Orange, FL 32129-5336 | 2008-05-26 |
| 1407047285 | Gina Marie Debernardo | Massage Therapist | 713 Pine Forest Trl E, Port Orange, FL 32127-4872 | 2007-08-06 |
| Find all providers in PORT ORANGE | ||||
| City | PORT ORANGE |
| Zip Code | 32129 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.