KELLY L REILLY (NPI# 1700492147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700492147 |
| Entity Type | Individual |
| Full Name | KELLY L REILLY |
| Practice Address |
555 N Harrison Ave Apt 2w Saint Louis MO 63122-3969 |
| Practice Telephone | 3143033161 |
| Mailing Telephone | 3143033161 |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 2006010875 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700412467 | Kelly Reilly | Registered Nurse | 1109 Linwood Cir, Pasadena, TX 77502-1704 | 2020-03-13 |
| 1083013031 | Kelly Reilly | Counselor | 109 Newell St, 4r, Brooklyn, NY 11222-4288 | 2014-08-15 |
| 1073886230 | Kelly Elizabeth Reilly | Social Worker | 112 N Erie St, Wheaton, IL 60187-4536 | 2012-02-20 |
| 1548544265 | Kelly Reilly | Case Manager/Care Coordinator | 859 Willard St, Quincy, MA 02169-7482 | 2011-09-29 |
| 1932396355 | Kelly Michelle Reilly | Pharmacist | 555 Metro Pl N, Suite 325, Dublin, OH 43017-1306 | 2007-09-30 |
| Street Address |
555 N HARRISON AVE APT 2W |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63122-3969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659933174 | Keela Rushing | Physical Therapist | 439 S Kirkwood Rd Ste 200, Kirkwood, MO 63122 | 2019-07-04 |
| 1730643461 | Kirkwood Family Dental | Dentist | 333 S Kirkwood Road, Suite 105, Kirkwood, MO 63122 | 2019-01-28 |
| 1477061166 | Total Access Urgent Care, PC | Clinic/Center | 2980 Dougherty Ferry Rd, Saint Louis, MO 63122 | 2018-01-16 |
| 1760933469 | Missouri Cvs Pharmacy, L.l.c | Durable Medical Equipment & Medical Supplies | 10820 Manchester Rd, Kirkwood, MO 63122 | 2016-10-18 |
| 1518321041 | M. Kathleen Blanchard | Counselor | 11042 Manchester Rd., Kirkwood, MO 63122 | 2016-04-11 |
| 1265801914 | Kim Grega | Counselor | 700 S Kirkwood Rd, Kirkwood, MO 63122 | 2015-09-23 |
| 1245617943 | Mark Edward Taylor | Dentist | 610 North Geyer, Kirkwood, MO 63122 | 2015-05-01 |
| 1467843094 | Mary Elizabeth Boomgarden | Physical Therapist | 9645 Big Bend Boulevard, Saint Louis, MO 63122 | 2015-02-18 |
| 1760725717 | Michael Diller Counseling | Counselor | 144 W Madison Avenue, Kirkwood, MO 63122 | 2013-03-28 |
| 1427309954 | Anne Marie Delaplain | Dentist | 725 Laclede Station Road, Webster Groves, MO 63122 | 2012-09-24 |
| Find all providers in zip 63122 | ||||
| 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 |
|---|---|---|---|---|
| 1346848991 | James Allen Brooks | Massage Therapist | 6436 Chippewa St, Saint Louis, MO 63109-2106 | 2020-10-15 |
| 1083220354 | Jennifer Nahmensen | Massage Therapist | 5433 Cherryview Ln, Saint Louis, MO 63128-3729 | 2020-09-21 |
| 1205441862 | Blanche Haley | Massage Therapist | 3664 Montana St Fl 1, Saint Louis, MO 63116-4514 | 2020-09-10 |
| 1306450820 | Ana Wooldridge | Massage Therapist | 7241 Saint Andrews Pl, Saint Louis, MO 63121-5028 | 2020-09-02 |
| 1124652391 | Bobby James Wright | Massage Therapist | 1722 Olive St Ste 212, Saint Louis, MO 63103-1700 | 2020-02-26 |
| 1083253520 | Shaka D Mccormick | Massage Therapist | 2804 Osage St, Saint Louis, MO 63118-4537 | 2020-01-01 |
| 1073025763 | Cyretha Ann Staton | Massage Therapist | 2110 Armitage Dr, Saint Louis, MO 63136-6105 | 2017-11-02 |
| 1891211017 | Jerrad Lee Benton | Massage Therapist | 2430 Tellicherry Dr, Saint Louis, MO 63125-3108 | 2017-08-18 |
| 1538605761 | Jamal Carter | Massage Therapist | 12127 Bellefontaine Rd, Suite 16, Saint Louis, MO 63138-1916 | 2017-01-11 |
| 1639537905 | Eric Tillman | Massage Therapist | 8210 Flora Ave, Saint Louis, MO 63114-6202 | 2016-02-02 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63122 |
Please comment or provide details below to improve the information on KELLY L REILLY.
| 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.