KELLY GRAY (NPI# 1114328242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114328242 |
| Entity Type | Individual |
| Full Name | KELLY GRAY |
| Practice Address |
7792 Patton Rd Dane WI 53529-9715 |
| Practice Telephone | 6088460964 |
| Mailing Telephone | 6088460964 |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2014-09-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 2213-146 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467951491 | Kelly L Gray | Registered Nurse | 21410 N 19th Ave Ste 114, Phoenix, AZ 85027-2755 | 2018-02-05 |
| 1891043675 | Kelly Gray | Massage Therapist | 510 State Ave Ste 3, Hampton, IL 61256-9690 | 2012-08-27 |
| 1700145281 | Kelly Gray | Pharmacist | 16212 Monnet Place Ct, Charlotte, NC 28278-0099 | 2012-05-03 |
| 1366727133 | Kelly Gray | Pharmacist | 4605 Montgomery Road, Norwood, OH 45212 | 2011-10-12 |
| 1821312224 | Kelly Gray | Dietitian, Registered | 330 Shamrock Rd, Manchester, KY 40962-9201 | 2010-03-15 |
| 1811219736 | Kelly Gray | Pharmacist | 41 Albany Sreet, Cazenovia, NY 13035 | 2010-02-19 |
| 1417019076 | Kelly A. Gray | Physical Therapist | 42 E 32nd St, Bayonne, NJ 07002-4709 | 2006-12-13 |
| 1700346798 | Kelly Gray | Registered Nurse | 5231 Penn Ave Fl 1, Pittsburgh, PA 15224-1768 | 2019-03-25 |
| 1134511314 | Kelly Gray | Speech-Language Pathologist | 815 Triplett St, Owensboro, KY 42303-3564 | 2015-02-25 |
| 1215333232 | Kelly Ann Baker Gray | Behavioral Analyst | 12040 98th Ave Ne, Suite 204, Kirkland, WA 98034-4290 | 2014-11-18 |
| Street Address |
7792 PATTON RD |
| City | DANE |
| State | WI |
| Zip Code | 53529-9715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811167265 | Todd Michael Varnes | Registered Nurse | 411 Luke Ln, Dane, WI 53529-9515 | 2008-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811167265 | Todd Michael Varnes | Registered Nurse | 411 Luke Ln, Dane, WI 53529-9515 | 2008-03-01 |
| 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 |
|---|---|---|---|---|
| 1336749548 | Cindy Ann Pinnow | Massage Therapist | 443 W Main St, Waukesha, WI 53186-4612 | 2020-10-27 |
| 1114526068 | Berevon Tayshawn Wyatt | Massage Therapist | 3510 N Oakland Ave Ste 206, Milwaukee, WI 53211-2746 | 2020-10-21 |
| 1881292035 | Chrysta Beyer | Massage Therapist | 117 W Good Hope Rd, Glendale, WI 53217-3857 | 2020-10-10 |
| 1861099608 | Kaitlin Gelbmann | Massage Therapist | 920 W City Highway 16 Ste A, West Salem, WI 54669-1952 | 2020-10-05 |
| 1447867346 | Evolve Massage LLC | Massage Therapist | 1777 W Main St Ste 106, Sun Prairie, WI 53590-3100 | 2020-09-25 |
| 1174139646 | Rachel Plowman | Massage Therapist | 2911 Blue Aster Blvd, Sun Prairie, WI 53590-4691 | 2020-09-21 |
| 1003422569 | Reeyanana Salet Cha | Massage Therapist | 12201 W Burleigh St Ste 6, Wauwatosa, WI 53222-3102 | 2020-09-21 |
| 1659986453 | Kristin Allie Costello | Massage Therapist | S31w24757 W Sunset Dr, Waukesha, WI 53189-7014 | 2020-09-09 |
| 1073124376 | Maria Victoria Gutierrez | Massage Therapist | 2702 Monroe St Ste 110, Madison, WI 53711-1896 | 2020-08-11 |
| 1699393082 | Laura Lynn Leyh | Massage Therapist | 1907 American Dr Ste B3, Neenah, WI 54956-1236 | 2020-07-11 |
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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.