KELLI FACUNDUS BLACK (NPI# 1447861703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447861703 |
| Entity Type | Individual |
| Full Name | KELLI FACUNDUS BLACK |
| Credential | LMT |
| Practice Address |
195 Boyer St Plains MT 59859-5985 |
| Mailing Address |
45 Rattling Horns Ln Plains MT 59859-9613 |
| Practice Telephone | 5706371122 |
| Mailing Telephone | 5706371122 |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-08-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | LMT-LMT-LIC-1846 | MT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578186763 | Kelli Black | Physical Therapist | 701 Sunset Hills Dr, Macon, MO 63552-2165 | 2020-05-21 |
| Street Address |
195 BOYER ST |
| City | PLAINS |
| State | MT |
| Zip Code | 59859-5985 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710324306 | Noah M Bray | Physical Therapist | 200 South Hubbard St, Plains, MT 59859 | 2013-05-23 |
| 1760648091 | Andrew Timothy Ordelheide | Dentist | 200 W Railroad Ave, Plains, MT 59859 | 2008-08-06 |
| 1396876868 | County of Sanders - School District 1 | Local Education Agency (LEA) | 412 Rittenour, Plains, MT 59859 | 2007-03-08 |
| 1316090707 | Little Bitterroot Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 103 W Lynch, Plains, MT 59859 | 2007-01-19 |
| 1760535173 | Glenn Alan Wielenga | Family Medicine | 807 S. 5th Ave, Plains, MT 59859 | 2007-01-19 |
| 1801970033 | Wildhorse Management Inc | Surgery | Clarkfork Valley Hospital, #10 Kruger Rd, Plains, MT 59859 | 2006-10-24 |
| 1124118468 | Donald D Damschen | Surgery | Clark Fork Valley Hospital, #10 Kruger Rd, Plains, MT 59859 | 2006-10-16 |
| 1215025861 | Emily Christine Herndon | Physical Therapist | 200 Hubbard St, Plains, MT 59859 | 2006-10-10 |
| 1265547939 | Plains Hospital Corporation | General Acute Care Hospital | 10 Kruger Road, Plains, MT 59859 | 2006-08-20 |
| 1164537106 | Plains Rexall Drug | Durable Medical Equipment & Medical Supplies | 214 Railroad St, Plains, MT 59859 | 2006-08-20 |
| Find all providers in zip 59859 | ||||
| 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 |
|---|---|---|---|---|
| 1497099402 | Sharon M Logan | Massage Therapist | 18 Riverview Dr, Plains, PA 18705-1529 | 2012-11-15 |
| 1952606956 | Mariah Dana Achey | Massage Therapist | 1086 Highway 315, Plaza 315, Plains, PA 18702 | 2011-01-21 |
| 1326289000 | Jennifer Lynn Swartz | Massage Therapist | 319 Grand Ave, Plains, KS 67869-9704 | 2009-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548217 | Sarah Elena Barrios | Massage Therapist | 101 Paisley Ct Apt A, Bozeman, MT 59715-7327 | 2020-11-05 |
| 1457950214 | Tyree Leigh Dutton | Massage Therapist | 639 Helena Ave Ste B, Helena, MT 59601-3607 | 2020-10-22 |
| 1922606565 | Abigail Yarus | Massage Therapist | 204 Dewey Ave, Eureka, MT 59917-9046 | 2020-10-15 |
| 1366058448 | Kristina M Williams | Massage Therapist | 101 E Center St Ste 203, Kalispell, MT 59901-4079 | 2020-09-23 |
| 1821604042 | Amanda Rose Knorr | Massage Therapist | 900 N Montana Ave Unit B1c, Helena, MT 59601-3845 | 2020-09-22 |
| 1790398725 | Wendra Ann Wendt | Massage Therapist | 1608 Ogden St, Anaconda, MT 59711 | 2020-08-28 |
| 1982216834 | Rosemary A Stoudt | Massage Therapist | 415 N Higgins Ave Ste 128, Missoula, MT 59802-4563 | 2020-08-21 |
| 1295344570 | Jodi Alexander | Massage Therapist | 670 King Park Dr Ste 8, Billings, MT 59102-6257 | 2020-07-23 |
| 1881211498 | Jessica Elaine Powers | Massage Therapist | 228 Senator St, 228 Senator St. Ekalaka, Ekalaka, MT 59324 | 2020-06-30 |
| 1659996825 | Cady Marquardt | Massage Therapist | 503 5th Ave N, Great Falls, MT 59401-2331 | 2020-06-12 |
| 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.