KELLY A LARSON (NPI# 1619274362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619274362 |
| Entity Type | Individual |
| Full Name | KELLY A LARSON |
| Credential | LMP |
| Practice Address |
225 Maxwell Ave Port Townsend WA 98368-9488 |
| Practice Telephone | 3606433685 |
| Mailing Telephone | 3606433685 |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2011-02-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA60200342 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386055168 | Kelly Larson | Case Manager/Care Coordinator | 6809 Bebe Ct., Louisville, KY 40219 | 2014-05-14 |
| 1124442595 | Kelly Larson | Massage Therapist | 11 Spokane St Ste 202, Wenatchee, WA 98801-6132 | 2014-02-06 |
| 1346310414 | Kelly James Larson | Dentist | 8086 E Florentine Rd, Prescott Valley, AZ 86314-9422 | 2006-11-08 |
| 1023191442 | Kelly Suzanne Larson | Family Medicine | 700 Lily Rd Se, Olympia, WA 98503 | 2006-10-21 |
| 1184282212 | Kelly Larson | Assistant Behavior Analyst | 3504 Commercial Ave, Northbrook, IL 60062-1821 | 2019-06-04 |
| 1144691551 | Kelly Elizabeth Larson | Behavioral Analyst | 1025 E 54th St, Indianapolis, IN 46220-3219 | 2015-10-12 |
| 1891101606 | Kelly Larson | Counselor | 7907 Ostrow St, San Diego, CA 92111-3635 | 2014-07-01 |
| 1528190998 | Kelly Larson | Physical Therapy Assistant | 1301 15th Ave W, Williston, ND 58801-3821 | 2007-03-12 |
| 1760512438 | Kelly Marie Larson | Physical Therapist | 10300 W 103rd St, Suite 300, Overland Park, KS 66214-2642 | 2007-03-06 |
| 1548301161 | Kelly Larson | Speech-Language Pathologist | 701 W 6th St, Grafton, ND 58237-1379 | 2007-02-08 |
| Street Address |
225 MAXWELL AVE |
| City | PORT TOWNSEND |
| State | WA |
| Zip Code | 98368-9488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730727827 | Ace It Employment & Transition Services LLC | Community/Behavioral Health | 1233 Lawrence Street, Port Townsend, WA 98368 | 2019-12-19 |
| 1942862792 | Peninsula Midwives | Midwife | 203 Pocket Lane, Port Townsend, WA 98368 | 2019-07-02 |
| 1700349461 | Kelle Gayelena Ronnfeldt | Nurse Practitioner | 844 West Park Ave, Port Townsend, WA 98368 | 2019-04-10 |
| 1841769031 | Richard Sankey Hansen | Counselor | 448 Hastings Ave, Port Townsend, WA 98368 | 2018-11-16 |
| 1255800595 | Alan P Brown | Counselor | 821 Mcpherson St, Port Townsend, WA 98368 | 2018-11-15 |
| 1699257873 | Megan E Smith | Counselor | 260 Kala Point Dr, Ste 99, Port Townsend, WA 98368 | 2018-09-04 |
| 1093297434 | Jacqueline Levin | Clinical Nurse Specialist | 234 Pond Road, Port Townsend, WA 98368 | 2018-09-02 |
| 1306335682 | Matthew D Hust | Physical Therapy Assistant | 751 Kearney Street, Port Townsend, WA 98368 | 2018-05-02 |
| 1306368238 | Michael Ozar | Psychologist | 1806 Walnut Street, Port Townsend, WA 98368 | 2017-07-12 |
| 1336674076 | Yuko Umeda | Registered Nurse | 615 Sheridan Street, Port Townsend, WA 98368 | 2017-05-01 |
| Find all providers in zip 98368 | ||||
| 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 |
|---|---|---|---|---|
| 1437762424 | Samara Yasmin Larochelle | Massage Therapist | 715 Taylor St, Port Townsend, WA 98368-5529 | 2020-08-28 |
| 1881129138 | Taylor Corrigan | Massage Therapist | 6062 Hwy 20, Unit 26, Port Townsend, WA 98368-9328 | 2017-04-25 |
| 1912443862 | Jennifer Benedict | Massage Therapist | 282084 Us Highway 101, Port Townsend, WA 98368-9331 | 2017-01-17 |
| 1952846289 | Sheana Livingstone | Massage Therapist | 1510 Hastings Ave, Port Townsend, WA 98368-5912 | 2016-12-22 |
| 1861853202 | Renee Baribault | Massage Therapist | 2727 St Helens Pl, Port Townsend, WA 98368-4721 | 2016-03-13 |
| 1922471382 | Lucy Obetz | Massage Therapist | 4682 Mcneill St, Port Townsend, WA 98368-2135 | 2015-11-07 |
| 1679978456 | Mj Edge | Massage Therapist | 719 Taylor St, Suite B, Port Townsend, WA 98368 | 2014-10-23 |
| 1770902439 | Jamie Seton | Massage Therapist | 50 Xavier Way, Port Townsend, WA 98368-9608 | 2014-04-09 |
| 1316285604 | Stephanie Gabrielle Root Dickey | Massage Therapist | 1002 Lawrence St, Port Townsend, WA 98368-6524 | 2013-01-22 |
| 1194057893 | Glen Wayne Koch | Massage Therapist | 3019 Eddy St, Port Townsend, WA 98368-5919 | 2010-02-04 |
| Find all providers in PORT TOWNSEND | ||||
| City | PORT TOWNSEND |
| Zip Code | 98368 |
Please comment or provide details below to improve the information on KELLY A LARSON.
| 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.