MISS KELLY LARSON (NPI# 1124442595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124442595 |
| Entity Type | Individual |
| Full Name | MISS KELLY LARSON |
| Credential | MASSAGE THERAPIST |
| Practice Address |
11 Spokane St Ste 202 Wenatchee WA 98801-6132 |
| Mailing Address |
217 E Nixon Ave Chelan WA 98816-8649 |
| Practice Telephone | 5096797067 |
| Practice Fax Number | 5098888001 |
| Mailing Telephone | 5096797067 |
| Mailing Fax Number | 5098888001 |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2014-02-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA60022016 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386055168 | Kelly Larson | Case Manager/Care Coordinator | 6809 Bebe Ct., Louisville, KY 40219 | 2014-05-14 |
| 1619274362 | Kelly A Larson | Massage Therapist | 225 Maxwell Ave, Port Townsend, WA 98368-9488 | 2011-02-15 |
| 1346310414 | Kelly James Larson | Dentist | 8086 E Florentine Rd, Prescott Valley, AZ 86314-9422 | 2006-11-08 |
| 1023191442 | Kelly Suzanne Larson | Family Medicine | 700 Lily Rd Se, Olympia, WA 98503 | 2006-10-21 |
| 1184282212 | Kelly Larson | Assistant Behavior Analyst | 3504 Commercial Ave, Northbrook, IL 60062-1821 | 2019-06-04 |
| 1144691551 | Kelly Elizabeth Larson | Behavioral Analyst | 1025 E 54th St, Indianapolis, IN 46220-3219 | 2015-10-12 |
| 1891101606 | Kelly Larson | Counselor | 7907 Ostrow St, San Diego, CA 92111-3635 | 2014-07-01 |
| 1528190998 | Kelly Larson | Physical Therapy Assistant | 1301 15th Ave W, Williston, ND 58801-3821 | 2007-03-12 |
| 1760512438 | Kelly Marie Larson | Physical Therapist | 10300 W 103rd St, Suite 300, Overland Park, KS 66214-2642 | 2007-03-06 |
| 1548301161 | Kelly Larson | Speech-Language Pathologist | 701 W 6th St, Grafton, ND 58237-1379 | 2007-02-08 |
| Street Address |
11 SPOKANE ST STE 202 |
| City | WENATCHEE |
| State | WA |
| Zip Code | 98801-6132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548667900 | Danielle Bergren | Massage Therapist | 11 Spokane St Ste 202, Wenatchee, WA 98801-6132 | 2014-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033728365 | Jeannie Jones | Massage Therapist | 15 2nd St, Hallway 15, Wenatchee, WA 98801 | 2020-07-22 |
| 1184246688 | Mireya Ann Bahena | Case Manager/Care Coordinator | Catholic Charities of The Diocese of 145 S. Worthen St., Wenatchee, WA 98801 | 2020-05-07 |
| 1871067843 | Bfg Wenatchee Propco Iv, LLC | Assisted Living Facility | 817 Red Apple Rd, Wenatchee, WA 98801 | 2019-01-14 |
| 1982177283 | Michael Lee Miller | Behavioral Analyst | 264 N. Mission, Wenatchee, WA 98801 | 2019-01-09 |
| 1972073526 | Daniel Jentges | Family Medicine | 413 N Mission St., Wenatchee, WA 98801 | 2018-11-27 |
| 1972010437 | Daniel Nickel | Occupational Therapy Assistant | 217 Wetherald St, Wenatchee, WA 98801 | 2018-01-05 |
| 1962916379 | The Professional Denture Center | Denturist | 533 South Mission St, Wenatchee, WA 98801 | 2017-11-21 |
| 1467978155 | Matthew Jerauld Laws | Massage Therapist | 416 Ninth Street, Wenatchee, WA 98801 | 2017-08-15 |
| 1073051363 | Kimberley Rae Chambers | Massage Therapist | 25 N Wenatchee Ave Suite 104, Wenatchee, WA 98801 | 2017-02-07 |
| 1841746187 | Valentina Alvarez | Counselor | 145 S Worthern, Wenatchee, WA 98801 | 2016-08-28 |
| Find all providers in zip 98801 | ||||
| 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 |
|---|---|---|---|---|
| 1033728365 | Jeannie Jones | Massage Therapist | 15 2nd St, Hallway 15, Wenatchee, WA 98801 | 2020-07-22 |
| 1275184400 | Joanna Lynn Moses | Massage Therapist | 6 1st St Ste 12, Wenatchee, WA 98801-2247 | 2019-09-29 |
| 1457826356 | Vickery Holistic Massage | Massage Therapist | 6 1st St Ste 5, Wenatchee, WA 98801-2247 | 2018-10-06 |
| 1578046983 | Yury Urias | Massage Therapist | 100 N Wenatchee Ave, Wenatchee, WA 98801-2239 | 2018-09-11 |
| 1134618267 | Wendy Jo Winter | Massage Therapist | 620 N Emerson Ave Ste 200, Wenatchee, WA 98801-6619 | 2018-05-03 |
| 1467978155 | Matthew Jerauld Laws | Massage Therapist | 416 Ninth Street, Wenatchee, WA 98801 | 2017-08-15 |
| 1205368867 | Karina Mendez-garibay | Massage Therapist | 502 Ramona Ave, Wenatchee, WA 98801-1869 | 2017-03-31 |
| 1073051363 | Kimberley Rae Chambers | Massage Therapist | 25 N Wenatchee Ave Suite 104, Wenatchee, WA 98801 | 2017-02-07 |
| 1811439607 | Winter Galvan | Massage Therapist | 247 N Chelan Ave, Wenatchee, WA 98801-2104 | 2016-11-09 |
| 1588064307 | Casey Johanson | Massage Therapist | 2623 Euclid Ave, Wenatchee, WA 98801-3596 | 2014-08-28 |
| Find all providers in WENATCHEE | ||||
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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.