KALIE JOLYN MOORE (NPI# 1578053468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578053468 |
| Entity Type | Individual |
| Full Name | KALIE JOLYN MOORE |
| Credential | LMT |
| Practice Address |
2605 Brewerton Rd Syracuse NY 13211 |
| Mailing Address |
2605 Brewerton Rd Syracuse NY 13211-1147 |
| Practice Telephone | 3154559355 |
| Mailing Telephone | 3154559355 |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2018-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 030834 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538605563 | Kalie Moore | Counselor | 130 Preston Executive Dr Ste 202, Cary, NC 27513-8433 | 2017-01-14 |
| Street Address |
2605 BREWERTON RD |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427557578 | Lisa Renee Kozma | Massage Therapist | 2605 Brewerton Rd, Syracuse, NY 13211-1147 | 2018-02-05 |
| 1952755282 | Lindsay Allen | Massage Therapist | 2605 Brewerton Rd, Syracuse, NY 13211-1147 | 2016-04-23 |
| 1023463353 | Olivia Whyte | Massage Therapist | 2605 Brewerton Rd, Syracuse, NY 13211-1147 | 2016-04-23 |
| 1881002350 | Michael J Rozyczko | Massage Therapist | 2605 Brewerton Rd, Syracuse, NY 13211-1147 | 2014-07-29 |
| 1033547815 | Kelly Lambert | Massage Therapist | 2605 Brewerton Rd, Syracuse, NY 13211-1147 | 2013-10-14 |
| 1558671941 | Clark Edmon Stull | Massage Therapist | 2605 Brewerton Rd, Syracuse, NY 13211-1147 | 2010-10-19 |
| 1699936294 | Shannon Yvonne Richer | Specialist | 2605 Brewerton Rd, Syracuse, NY 13211-1147 | 2008-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154692259 | Elizabeth Mitchell | Massage Therapist | 2605 Brewerton Roadd Lin, A Touch Above, Mattydale, NY 13211 | 2012-01-20 |
| 1265616189 | James Laurence Devine | Pharmacist | 2616 Brewerton Rd, Mattydale, NY 13211 | 2007-12-27 |
| 1770605784 | John Palazzoli | Pharmacist | 2803 Brewerton Rd, Mattydale, NY 13211-1003 | 2007-04-03 |
| 1407283161 | Andrea Marie Rubin | Pharmacist | 2803 Brewerton Rd, Mattydale, NY 13211-1003 | 2013-09-26 |
| 1689007585 | Justin Christopher Acker | Pharmacist | 2803 Brewerton Rd, Mattydale, NY 13211-1003 | 2013-08-14 |
| 1538190681 | K Mart Corp | Pharmacy | 2803 Brewerton Rd, Mattydale, NY 13211-1003 | 2006-07-06 |
| 1538268891 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 2616 Brewerton Road, Mattydale, NY 13211-1202 | 2006-09-22 |
| 1063936185 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2616 Brewerton Rd, Mattydale, NY 13211-1202 | 2017-07-31 |
| 1154506723 | Shelley Jean Gallo | Pharmacist | 2616 Brewerton Rd, Mattydale, NY 13211-1202 | 2008-01-02 |
| 1477796159 | Vincent J. Scalisi | Chiropractor | 126 Campbell Rd # 1, Mattydale, NY 13211-1204 | 2009-04-11 |
| Find all providers in zip 13211 | ||||
| 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 |
|---|---|---|---|---|
| 1700495710 | Nzinga Grace | Massage Therapist | 109 S Warren St # 301, Syracuse, NY 13202-1798 | 2020-07-26 |
| 1285269902 | Matthew J Morrison | Massage Therapist | 148 Harwood Ave, Syracuse, NY 13224-1627 | 2020-03-04 |
| 1184189979 | Pamela Susan Mcgrath | Massage Therapist | 220 Greenwood Pl, Syracuse, NY 13210-2520 | 2019-02-05 |
| 1477046860 | Heather L Murphy | Massage Therapist | 204 Loma Ave, Syracuse, NY 13208-1837 | 2018-06-11 |
| 1073054557 | Catherine Lambie | Massage Therapist | 3702 James St, Syracuse, NY 13206-2536 | 2017-03-16 |
| 1114373776 | Catherine Garcia | Massage Therapist | 2449 S 2000 W, Syracuse, UT 84075-9248 | 2016-05-12 |
| 1487057287 | Krystan Berard | Massage Therapist | 446 W Seneca Tpke, Syracuse, NY 13207-2643 | 2014-10-07 |
| 1588066674 | Denise Birnbaum | Massage Therapist | 200 Corey Rd, Syracuse, NY 13219-2533 | 2014-09-19 |
| 1558667857 | Dasha Oleksandrivna Weeks | Massage Therapist | 104 Maple Ln, Syracuse, NY 13212-3839 | 2011-02-03 |
| 1336477082 | Sarah Elizabeth Reynolds | Massage Therapist | 719 E Genesee St, 2nd Floor - Suite 212, Syracuse, NY 13210-1533 | 2009-11-18 |
| Find all providers in SYRACUSE | ||||
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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.