KELLY GRAHAM (NPI# 1417369240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417369240 |
| Entity Type | Individual |
| Full Name | KELLY GRAHAM |
| Credential | LMP |
| Practice Address |
10021 Holman Rd Nw Seattle WA 98177-4920 |
| Mailing Address |
7912 3rd Ave Nw Seattle WA 98117-4007 |
| Practice Telephone | 2066328300 |
| Practice Fax Number | 2066328301 |
| Mailing Telephone | 9499394019 |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2014-05-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA 60435767 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134669682 | Kelly Graham | Specialist/Technologist | 601 Custis Rd, Glenside, PA 19038-2013 | 2017-03-02 |
| 1649446774 | Kelly Ann Graham | Occupational Therapist | 161 Se 5th Ct, Pompano Beach, FL 33060-7164 | 2008-05-08 |
| 1447239629 | Kelly Leigh Graham | Optometrist | 113 N Plaza Ct, Van Buren, AR 72956-2269 | 2006-01-16 |
| 1396258232 | Kelly Marie Graham | Counselor | 2005 Ashland Ave, Toledo, OH 43620-1703 | 2017-11-14 |
| 1720530629 | Kelly Graham | Nurse Practitioner | 2075 Glenn Mitchell Dr, Suite 500, Virginia Beach, VA 23456-0179 | 2016-10-26 |
| 1780031625 | Kelly Ann Graham | Physical Therapy Assistant | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2016-05-20 |
| 1174915862 | Kelly Graham | Counselor | 5648 Friendship Ave, Pittsburgh, PA 15206-3610 | 2015-03-04 |
| 1750783981 | Kelly Graham | Speech-Language Pathologist | 1349 Empire Central Dr, Suite 516, Dallas, TX 75247-4066 | 2014-09-18 |
| 1821410309 | Kelly Jean Graham | Behavioral Analyst | 780 Lynnhaven Pkwy Ste 400, Virginia Beach, VA 23452-7332 | 2014-01-17 |
| 1588093157 | Kelly Graham | Physician Assistant | 960 Johnson Ferry Rd, Ste 100, Atlanta, GA 30342-1631 | 2013-11-05 |
| Street Address |
10021 HOLMAN RD NW |
| City | SEATTLE |
| State | WA |
| Zip Code | 98177-4920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053485656 | Glenda Sue Poletti | Massage Therapist | 10021 Holman Rd Nw, Seattle, WA 98177-4920 | 2006-11-17 |
| 1235779919 | Laura Elizabeth Church | Massage Therapist | 10021 Holman Rd Nw, Seattle, WA 98177-4920 | 2020-01-10 |
| 1982266789 | Raquel Wong | Massage Therapist | 10021 Holman Rd Nw, Seattle, WA 98177-4920 | 2019-07-01 |
| 1902461767 | Victoria Allyn Nation | Massage Therapist | 10021 Holman Rd Nw, Seattle, WA 98177-4920 | 2019-05-07 |
| 1982269247 | Zachary Louis Windhorst | Massage Therapist | 10021 Holman Rd Nw, Seattle, WA 98177-4920 | 2019-05-02 |
| 1063988772 | Faith Kristine Imboden | Massage Therapist | 10021 Holman Rd Nw, Seattle, WA 98177-4920 | 2018-10-19 |
| 1245715135 | Christine Saul | Massage Therapist | 10021 Holman Rd Nw, Seattle, WA 98177-4920 | 2018-09-26 |
| 1689167108 | Devin Thomas Mcferon | Massage Therapist | 10021 Holman Rd Nw, Seattle, WA 98177-4920 | 2018-06-09 |
| 1124511951 | Joshua Bagdon | Massage Therapist | 10021 Holman Rd Nw, Seattle, WA 98177-4920 | 2018-06-06 |
| 1518468479 | Tiffany Jean Brookes | Massage Therapist | 10021 Holman Rd Nw, Seattle, WA 98177-4920 | 2018-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689227662 | Lindsey Cross | Speech-Language Pathologist | 3402 Nw 195th Pl, Shoreline, WA 98177 | 2019-07-19 |
| 1063921120 | Genevieve Louise Becker | Counselor | 132 Nw 195th St, Shoreline, WA 98177 | 2017-09-21 |
| 1134578552 | Emily F Walker | Social Worker | 1245 Nw 175th St., Shoreline, WA 98177 | 2016-06-07 |
| 1326462664 | Getachew Zewdie Demissie | Registered Nurse | 328 Nw Richmond Beach Rd, #312, Seattle, WA 98177 | 2014-02-06 |
| 1699913848 | Meghann Dalrymple | Occupational Therapist | 19235 15th Ave Ne, Shoreline, WA 98177 | 2009-01-27 |
| 1770757502 | Don M Huynh | Pharmacy Technician | 850 Nw Innis Arden Drive, Shoreline, WA 98177 | 2008-04-14 |
| 1295921609 | Esther Eileen Andrews Moore | Marriage & Family Therapist | 17250 10th Ave Nw, Shoreline, WA 98177 | 2007-09-19 |
| 1073730644 | Nancy Lynn Krecker-scott | Massage Therapist | 10525 - 3rd Ave Nw, Viewland's Elementary School, Seattle Public School Dis, Seattle, WA 98177 | 2007-04-18 |
| 1447321914 | Francis Arden Pinault | Acupuncturist | 646 Nw Richmond Beach Rd, Shoreline, WA 98177 | 2006-11-13 |
| 1053356303 | Anne H Reese | Pediatrics | 357 Nw Richmond Beach Rd, Richmond Pediatrics, Shoreline, WA 98177 | 2006-06-19 |
| Find all providers in zip 98177 | ||||
| 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 |
|---|---|---|---|---|
| 1538769088 | Alison K Rostholder-harris | Massage Therapist | 1202 E Pine St Unit 101, Seattle, WA 98122-3929 | 2020-10-26 |
| 1982201976 | Ashley Beth Metzger | Massage Therapist | 9449 25th Ave Sw, Seattle, WA 98106-2633 | 2020-10-03 |
| 1639786379 | Tiana M. Duncan | Massage Therapist | 3250 Airport Way S Ste 322, Seattle, WA 98134-2167 | 2020-09-27 |
| 1073120937 | C Gale, Pllc | Massage Therapist | 3250 Airport Way S Ste 738, Seattle, WA 98134-2172 | 2020-09-24 |
| 1700491925 | Mizu Massage Seattle LLC | Massage Therapist | 3250 Airportway South, 740, Seattle, WA 98134 | 2020-09-14 |
| 1518572015 | Katrina A Gray | Massage Therapist | 918 S Horton St # 740, Seattle, WA 98134-1952 | 2020-09-11 |
| 1063026375 | Alycia Anne Lochridge | Massage Therapist | 313 27th Ave S, Seattle, WA 98144-2409 | 2020-09-03 |
| 1811508039 | Kathryn Steinfort | Massage Therapist | 4464 Fremont Ave N Ste 102, Seattle, WA 98103-7290 | 2020-08-11 |
| 1124645932 | Carl Wilson | Massage Therapist | 12345 Roosevelt Way Ne Apt 304, Seattle, WA 98125-4867 | 2020-06-26 |
| 1235755927 | Jeremy Steward | Massage Therapist | 1908 E Republican St, Seattle, WA 98112-4001 | 2020-06-18 |
| Find all providers in SEATTLE | ||||
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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.