KAITLIN CHELSEA MCCULLEY (NPI# 1225515489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225515489 |
| Entity Type | Individual |
| Full Name | KAITLIN CHELSEA MCCULLEY |
| Practice Address |
6417 Odana Rd Ste 25 Madison WI 53719-1159 |
| Practice Telephone | 6086403646 |
| Mailing Telephone | 6086403646 |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2018-07-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 10217-146 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
6417 ODANA RD STE 25 |
| City | MADISON |
| State | WI |
| Zip Code | 53719-1159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124500129 | Samantha Alyce Metz | Massage Therapist | 6417 Odana Rd Ste 25, Madison, WI 53719-1159 | 2018-09-05 |
| 1770065500 | Emily Kennedy | Massage Therapist | 6417 Odana Rd Ste 25, Madison, WI 53719-1159 | 2018-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271801 | Jessica Seidel | Registered Nurse | 1015 Gammon Lane, Madison, WI 53719 | 2020-10-01 |
| 1376168989 | 360 Wellness LLC | Physical Therapist | 504 S Yellowstone Lane, Madison, WI 53719 | 2020-06-09 |
| 1932744067 | Sara Ruiz | Marriage & Family Therapist | Clock Tower Office Park, 6333 Odana Rd, #20, Madison, WI 53719 | 2019-11-13 |
| 1700436466 | David R. Gosling | Counselor | 702 South High Point Road #209, Madison, WI 53719 | 2019-09-16 |
| 1285289587 | Clifton Leo Davis Jr. | Counselor | 6417 O Dana Rd #5, Madison, WI 53719 | 2019-08-05 |
| 1679127278 | Akillah Jamillah Wali | Psychologist | 6417 Odana Rd Suite 5, Madison, WI 53719 | 2019-07-31 |
| 1689230211 | Brandy Georgecopeland | Marriage & Family Therapist | 6417 Odana Rd. Ste 5, Madison, WI 53719 | 2019-05-20 |
| 1275016826 | Kelsey Andersen | Physical Therapist | 504 S. Yellowstone Lane, Madison, WI 53719 | 2018-09-10 |
| 1740797190 | Catelyn Schwerke | Social Worker | 3848 Maple Grove Dr, Apt 307, Madison, WI 53719 | 2018-01-08 |
| 1922519008 | Mary Jane Cruz Delorme | Registered Nurse | 6831 Mader Dr. #210, #210, Madison, WI 53719 | 2017-10-17 |
| Find all providers in zip 53719 | ||||
| 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 |
|---|---|---|---|---|
| 1073124376 | Maria Victoria Gutierrez | Massage Therapist | 2702 Monroe St Ste 110, Madison, WI 53711-1896 | 2020-08-11 |
| 1083222772 | Athena L Little | Massage Therapist | 1871 Slaughter Rd Ste J, Madison, AL 35758-8631 | 2020-07-19 |
| 1346879582 | Devon Anne Dopfel | Massage Therapist | 170 Boston Post Rd Unit 3, Madison, CT 06443-2166 | 2020-04-08 |
| 1497386270 | Joe Orosco | Massage Therapist | 1930 Monroe St Ste 368, Madison, WI 53711-2059 | 2020-01-30 |
| 1407322480 | Gretchen Rose Brown | Massage Therapist | 301 S Bedford St # 4, Madison, WI 53703-3691 | 2018-10-17 |
| 1710461223 | Lamonica P Starks | Massage Therapist | 118 Weisenberger Rd Ste 200, Madison, MS 39110-5012 | 2018-09-20 |
| 1619450517 | Daniel French | Massage Therapist | 1040 N High Point Rd Apt 213, Madison, WI 53717-2812 | 2018-09-07 |
| 1326571571 | Laurie Zbock | Massage Therapist | 7320 Route 20, Madison, NY 13402 | 2017-04-05 |
| 1407307671 | Kristanne Noelle Stone | Massage Therapist | 1 Maple Wood Ln Unit 303, Madison, WI 53704-3971 | 2016-10-21 |
| 1245690619 | Saraann Reid | Massage Therapist | 794 Ashlawn Dr, Madison, VA 22727-4315 | 2016-02-29 |
| Find all providers in MADISON | ||||
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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.