MRS. KELLY IRENE WATRAS (NPI# 1225557457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225557457 |
| Entity Type | Individual |
| Full Name | MRS. KELLY IRENE WATRAS |
| Credential | MT |
| Practice Address |
W6905 Parkview Drive Greenville WI 54942 |
| Mailing Address |
7862 County Road H Fremont WI 54940 |
| Practice Telephone | 9207579887 |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 13809-146 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
W6905 PARKVIEW DRIVE |
| City | GREENVILLE |
| State | WI |
| Zip Code | 54942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124669908 | Kelly Hoyer | Technician | W7211 Midnight Ct, Greenville, WI 54942 | 2019-10-03 |
| 1164986717 | Rxlink Medical | Durable Medical Equipment & Medical Supplies | N922 Tower View Dr Ste 202, Greenville, WI 54942 | 2019-01-29 |
| 1730277245 | Patrick Shannon Dewar | Chiropractor | N1734 Municipal Drive, Greenville, WI 54942 | 2006-10-10 |
| 1679730998 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | W6981 Parkview Dr, Greenville, WI 54942 | 2008-05-22 |
| 1194896886 | Greenville Chiropractic Inc. | Point of Service | N1734 Municipal Drive, Greenville, WI 54942 | 2006-11-13 |
| 1427154228 | Ascension Medical Group-fox Valley Wisconsin, Inc | Durable Medical Equipment & Medical Supplies | W6981 Parkview Dr, Greenville, WI 54942 | 2006-09-16 |
| 1740716836 | Anthony Weinandt Jr. | Student in an Organized Health Care Education/Training Program | N1075 Alexandra Way, Greenville, WI 54942-2301 | 2017-05-10 |
| 1386823466 | Julie Ann Abboud | Podiatrist | N1697 Municipal Dr, Suite 3, Greenville, WI 54942-7700 | 2007-10-25 |
| 1164713509 | Greenville Foot & Ankle Center, LLC | Podiatrist | N1697 Municipal Dr, Suite 3, Greenville, WI 54942-7700 | 2011-04-19 |
| 1235174657 | John Paul Steinlage | Family Medicine | W6981 Park View Dr., Greenville, WI 54942-8034 | 2006-06-19 |
| Find all providers in zip 54942 | ||||
| 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 |
|---|---|---|---|---|
| 1063024362 | Brittany Tyler Mccoy | Massage Therapist | 1130b Woodruff Rd Ste 302, Greenville, SC 29607-4118 | 2020-08-18 |
| 1174171110 | Hannah Michelle Farmer | Massage Therapist | 31 Memorial Medical Dr # 107, Greenville, SC 29605-4407 | 2019-09-03 |
| 1710474895 | Keyarnna Tykira Stokes | Massage Therapist | 204 E Arlington Blvd Ste E, Greenville, NC 27858-5022 | 2018-04-15 |
| 1790110781 | Stacy Charlene Babb | Massage Therapist | 3795 East North Suite 14, Greenville, SC 29617-3304 | 2013-09-09 |
| 1114368487 | Barbara Martin | Massage Therapist | 9115 Wesley St, #1, Greenville, TX 75402-3827 | 2013-07-15 |
| 1285074831 | Ingrid Kohls Harris | Massage Therapist | 207 W. Antrim Drive, Greenville, SC 29607 | 2013-06-27 |
| 1922340819 | Joanne Marie Morrissey | Massage Therapist | 7 Austin Ave Ste 3b, Greenville, RI 02828-1491 | 2013-03-19 |
| 1548511264 | Eleice Braswell | Massage Therapist | 4324 Nw Us 221, Greenville, FL 32331-4521 | 2012-09-20 |
| 1033418124 | Jonathan D. Yuhasz | Massage Therapist | 2724 Wade Hampton Blvd, Ste D, Greenville, SC 29615-1110 | 2011-03-15 |
| 1083910541 | Angela Roshelle Dawson | Massage Therapist | 1178 Woodruff Rd, Suite 5, Greenville, SC 29607-4130 | 2011-02-01 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 54942 |
Please comment or provide details below to improve the information on MRS. KELLY IRENE WATRAS.
| 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.