JACQUELYN KELLER (NPI# 1316547763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316547763 |
| Entity Type | Individual |
| Full Name | JACQUELYN KELLER |
| Practice Address |
3050 Meadow Ln Mobile AL 36618-4634 |
| Practice Telephone | 9544107409 |
| Mailing Telephone | 9544107409 |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 5575 | AL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3050 MEADOW LN |
| City | MOBILE |
| State | AL |
| Zip Code | 36618-4634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114319944 | Gina Deering | Pharmacist | 5651 Moffett Rd, Suite C, Mobile, AL 36618 | 2015-03-03 |
| 1245510403 | Thuy-ngan Thi Duong | Pharmacist | 5651 Moffett Road, Mobile, AL 36618 | 2011-08-19 |
| 1679852586 | Innovative Prosthetic Care, LLC | Prosthetic/Orthotic Supplier | 1109 Wi-65 Service Rd N, Mobile, AL 36618 | 2011-08-09 |
| 1649454695 | Louis James Naman | Dentist | 4137 Moffelt Rd., Mobile, AL 36618 | 2007-12-27 |
| 1235254277 | Amie G Webb | Pharmacist | 5651 C Moffat Rd, Mobile, AL 36618 | 2007-03-20 |
| 1659431682 | Gerald Edward Berger | Dentist | 5216 Overlook Road, Mobile, AL 36618 | 2006-12-11 |
| 1780779314 | Tammy Dubuc | Pharmacist | 5651 C Moffet Road, Mobile, AL 36618 | 2006-10-03 |
| 1245330711 | Dana B Lambert | Pharmacist | 5651-c Moffet Rd Winn Dixie 578, Mobile, AL 36618 | 2006-09-25 |
| 1861444689 | Michael Carl Madden Sr. | Family Medicine | 7505 Moffett Rd, Mobile, AL 36618 | 2006-05-17 |
| 1518518968 | Daniel Loper | Clinical Medical Laboratory | 3750 Moffett Rd, Mobile, AL 36618-1208 | 2019-09-26 |
| Find all providers in zip 36618 | ||||
| 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 |
|---|---|---|---|---|
| 1396359964 | Christopher Scott Graham | Massage Therapist | 6422 Airport Blvd, Mobile, AL 36608-3702 | 2020-09-01 |
| 1558905612 | Cinthya Theresa-jo Galea | Massage Therapist | 1110 Hillcrest Rd Ste 2c, Mobile, AL 36695-3954 | 2019-11-01 |
| 1114397205 | Eric Ryan Davis | Massage Therapist | 167 Rhea Ave, Mobile, AL 36606-2353 | 2015-10-01 |
| 1548491277 | Leslie Smith | Massage Therapist | 3109 Old Shell Rd, Mobile, AL 36607-2620 | 2009-07-29 |
| 1386821320 | Foundational Physical Therapy & Message | Massage Therapist | 319 Pinehill Drive, Mobile, AL 36606-1735 | 2008-01-22 |
| 1225115041 | Cynthia D Greer | Massage Therapist | 6417 Hillcrest Park Ct, Suite G, Mobile, AL 36695-2675 | 2006-11-01 |
| 1750907671 | Tera Lynn Braxton | Massage Therapist | 4513 Old Shell Rd, Mobile, AL 36608-1922 | 2020-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566389 | Herbert Gooden II | Massage Therapist | 4963 Sulphur Springs Rd, Hoover, AL 35226-2083 | 2020-10-22 |
| 1255939039 | Stephen Wade | Massage Therapist | 16 Office Park Cir Ste 12c, Mountain Brk, AL 35223-2923 | 2020-10-13 |
| 1932706355 | Erdem Saridemir | Massage Therapist | 709 Fairhope Ave, Fairhope, AL 36532-2012 | 2020-10-08 |
| 1366059537 | Sally Bliss Hollon | Massage Therapist | 557 N Mobile St, Fairhope, AL 36532-2609 | 2020-09-30 |
| 1750998050 | Crystal Pikula | Massage Therapist | 406 Penthouse Dr, Birmingham, AL 35205-6464 | 2020-09-30 |
| 1093322604 | Aaron Pimentel Gutierrez | Massage Therapist | 309 2nd Ave E Ste 400, Oneonta, AL 35121-1476 | 2020-09-28 |
| 1417564527 | Huldah Deberry | Massage Therapist | 8449 Crossland Loop Ste 108, Montgomery, AL 36117-0917 | 2020-09-23 |
| 1184230393 | Kelly Ann Wilkinson | Massage Therapist | 2260 E University Dr Apt 9b, Auburn, AL 36830-3342 | 2020-09-22 |
| 1417563727 | Kandace Nixon | Massage Therapist | 1157 Pebble Creek Pkwy Apt G, Birmingham, AL 35214-7408 | 2020-09-22 |
| 1760096010 | Aiden Ifrit Caraway | Massage Therapist | 1712 1/2 10th St E, Tuscaloosa, AL 35404-2904 | 2020-09-03 |
| Find all providers with the same taxonomy | ||||
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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.