KELSEY O'LEARY (NPI# 1164893657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164893657 |
| Entity Type | Individual |
| Full Name | KELSEY O'LEARY |
| Other Name | KELSEY MARIE KLEINKOPF |
| Practice Address |
960 S Broadway Ave Suite 200 Boise ID 83706-3600 |
| Mailing Address |
16083 Sw Upper Boones Ferry Rd Suite 300 Tigard OR 97224-7736 |
| Practice Telephone | 2084339211 |
| Practice Fax Number | 2084339241 |
| Mailing Telephone | 8002198835 |
| Mailing Fax Number | 5036399699 |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2015-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MASG-1598 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114585114 | Kelsey E O'leary | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Boston, MA 02215-5491 | 2019-06-04 |
| 1649736364 | Kelsey Nicole O'leary | Physical Therapist | 1630 E 15th St, Brooklyn, NY 11229-1192 | 2019-02-19 |
| Street Address |
960 S BROADWAY AVE SUITE 200 |
| City | BOISE |
| State | ID |
| Zip Code | 83706-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710594478 | Katrina Tooman | Physical Therapist | 960 S Broadway Ave, Boise, ID 83706-3600 | 2020-09-28 |
| 1649714163 | Tayler Comley | Physical Therapist | 960 S Broadway Ave, Suite 200, Boise, ID 83706-3600 | 2016-12-19 |
| 1770027765 | Kelly Ragland | Registered Nurse | 960 S Broadway Ave, Suite 505, Boise, ID 83706-3600 | 2016-12-09 |
| 1528502721 | Marcia Jewell | Registered Nurse | 960 S Broadway Ave, Suite 505, Boise, ID 83706-3600 | 2016-12-07 |
| 1922541515 | Lisa Marconi | Registered Nurse | 960 S Broadway Ave, Suite 505, Boise, ID 83706-3600 | 2016-11-30 |
| 1861840662 | Julie Dunn | Physical Therapist | 960 S Broadway Ave, Suite 200, Boise, ID 83706-3600 | 2016-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164993010 | Brette Marie Stephenson | Counselor | 1529 Belmont St., Boise, ID 83706 | 2018-12-17 |
| 1295249241 | Boise of Cascadia, LLC | Skilled Nursing Facility | 6000 W. Denton St., Boise, ID 83706 | 2017-11-29 |
| 1174035638 | Zacharia Njoroge | Physician Assistant | 1055 N Curtis Rd 6th Floor, Boise, ID 83706 | 2017-10-24 |
| 1740708965 | Total Renal Care Inc | Clinic/Center | 1070 N Curtis Rd Ste 125, Boise, ID 83706 | 2017-09-08 |
| 1023532173 | Amber Frisch | Massage Therapist | 2509 S Gekeler Lane, Boise, ID 83706 | 2017-07-31 |
| 1952768145 | Katie Garcin | Specialist | 1407 E Boston Dr, Boise, ID 83706 | 2016-01-20 |
| 1770950677 | Kathryn Bender | Counselor | 1205 N Garden St, Boise, ID 83706 | 2015-08-26 |
| 1457751802 | Sabrina Shumar | Physician Assistant | 901 N Curtis Rd Ste 501, Boise, ID 83706 | 2014-09-03 |
| 1831525070 | Katie Joy Wilson | Social Worker | 333 W. Rossi St. #300, Boise, ID 83706 | 2013-09-19 |
| 1609208610 | Christine Lea Eden | Surgery | 1075 N Curtis Rd Ste 101, Boise, ID 83706 | 2013-07-31 |
| Find all providers in zip 83706 | ||||
| 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 |
|---|---|---|---|---|
| 1588288344 | Elizabeth S Rogers-buuck | Massage Therapist | 5333 W Franklin Rd Ste C, Boise, ID 83705-1119 | 2020-06-07 |
| 1396369781 | Tina Marie Wright | Massage Therapist | 38 Mores Creek Cir, Boise, ID 83716-3026 | 2020-06-02 |
| 1669094348 | Lisa Marie Piscopo | Massage Therapist | 4940 E Mill Station Dr, Boise, ID 83716-8628 | 2020-05-15 |
| 1326688524 | Justin Kobbe Solace | Massage Therapist | 919 N 27th St Ste A, Boise, ID 83702-2130 | 2020-01-15 |
| 1679111090 | Veronica Renee Roby | Massage Therapist | 2034 E Independence Dr, Boise, ID 83706-5472 | 2019-12-16 |
| 1659838126 | Monica Tenaya | Massage Therapist | 1915 E Roanoke Dr, Boise, ID 83712-7528 | 2019-02-21 |
| 1750846382 | Katheryn Rekow | Massage Therapist | 1390 S Maple Grove Rd # 200, Boise, ID 83709-1610 | 2019-02-07 |
| 1114495868 | Angela Hastings | Massage Therapist | 6901 W Emerald St Ste 206, Boise, ID 83704-8660 | 2018-11-09 |
| 1861967275 | Chelsi Michaelyn Layton | Massage Therapist | 1625 W State St Ste 100, Boise, ID 83702-4003 | 2018-10-11 |
| 1346724366 | Deann L Holexa | Massage Therapist | 4485 N Dresden Pl, Boise, ID 83714-1379 | 2018-09-17 |
| Find all providers in BOISE | ||||
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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.