KELLY DENISE MCLEAN (NPI# 1720393515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720393515 |
| Entity Type | Individual |
| Full Name | KELLY DENISE MCLEAN |
| Credential | MT, RMT |
| Practice Address |
7070 Austrian Pine Way #4 Portage MI 49024-3972 |
| Practice Telephone | 2697442107 |
| Mailing Telephone | 2697442107 |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2011-02-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154956530 | Kelly Celeste Mclean | Registered Nurse | 417 Broadway Ave, Pueblo, CO 81004-2127 | 2020-03-06 |
| 1780091918 | Kelly Mclean | Physician Assistant | 257 Nc Highway 125, Roanoke Rapids, NC 27870-6455 | 2014-07-21 |
| 1407978323 | Kelly Marie Mclean | Pharmacist | 11007 126th Ave Ne, Kirkland, WA 98033-4642 | 2007-04-03 |
| 1063804920 | Kelly Mclean | Registered Nurse | 564 Niagara St, Buffalo, NY 14201 | 2015-03-02 |
| 1871502385 | Kelly A Mclean | Social Worker | 2 Springbrook Drive, Biddeford, ME 04005 | 2006-08-05 |
| 1942237318 | Kelly Marie Mclean | Surgery | 2123 Auburn Ave, Cincinnati, OH 45219-2906 | 2006-06-28 |
| Street Address |
7070 AUSTRIAN PINE WAY #4 |
| City | PORTAGE |
| State | MI |
| Zip Code | 49024-3972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134774524 | Antonio Richard Barron | Physician Assistant | 5717 Oakland Dr Ste A, Portage, MI 49024 | 2019-08-03 |
| 1699279240 | Julie Lynn Griffin | Specialist/Technologist | Portage Northern High School, 1000 Idaho Ave, Portage, MI 49024 | 2018-03-20 |
| 1194255711 | Brittany Lynn Finkler | Audiologist | 576 Romence Rd Ste 121, Portage, MI 49024 | 2017-06-15 |
| 1164881207 | Family & Children Services, Inc. | Clinic/Center | 1302 W Milham Ave, Portage, MI 49024 | 2016-02-17 |
| 1497127716 | Huber Counseling, LLC | Counselor | 1591 West Centre Ave, Suite 102, Portage, MI 49024 | 2015-10-26 |
| 1659757466 | Marie Porter | Rehabilitation Practitioner | 5724 Alten St, Portage, MI 49024 | 2015-08-04 |
| 1063824860 | George Hughes | General Practice | 6630 Sunburst Dr, Portage, MI 49024 | 2014-05-28 |
| 1922358407 | Kimberly Lynn Ellrich | Speech-Language Pathologist | Storypoint, 3951 W Milham Ave, Portage, MI 49024 | 2012-09-12 |
| 1942593744 | Shamika Hall, Ph.d. & Associates, Pllc | Community/Behavioral Health | 7901 S. 12th St., Suite 201, Portage, MI 49024 | 2011-05-26 |
| 1306142815 | Jody Lynn Wrathall | Dentist | 3020 Old Centre Rd, Portage, MI 49024 | 2011-01-31 |
| Find all providers in zip 49024 | ||||
| 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 |
|---|---|---|---|---|
| 1356867337 | Thomas Emery Snyder | Massage Therapist | 210 E Centre Street, Portage, MI 49002-4900 | 2017-08-21 |
| 1518414788 | Laura Kim Rothwell | Massage Therapist | 1601 W Centre Ave, Suite 202, Portage, MI 49024-5396 | 2016-09-06 |
| 1952701393 | Dania Vander Meer | Massage Therapist | 5080 Lovers Ln Ste C, Portage, MI 49002-1570 | 2014-09-03 |
| 1316240609 | Maureen Margaret Moore | Massage Therapist | 1525 Greenview Ave, Portage, MI 49024-3322 | 2010-12-08 |
| 1154969343 | Xinping Zhang | Massage Therapist | 2939 New Pinery Rd, Portage, WI 53901-9226 | 2019-12-18 |
| 1598316721 | Savannah Marie Stepan | Massage Therapist | 1125 E Milham Ave, Portage, MI 49002-3096 | 2019-09-29 |
| 1891278651 | Tami Coleen Stingley | Massage Therapist | 6126 Lovers Ln, Portage, MI 49002-3026 | 2018-09-07 |
| 1760640759 | Leslie A Detienne | Massage Therapist | 5934 Us Highway 6, Portage, IN 46368-4946 | 2008-05-28 |
| 1659588077 | Bryan Huey | Massage Therapist | 8827 Portage Rd, Portage, MI 49002-6415 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629043 | Nathaniel Farnsworth Barrino | Massage Therapist | 21940 Coolidge Hwy, Oak Park, MI 48237-2811 | 2020-11-06 |
| 1376144378 | Uper, Inc | Massage Therapist | 3197 E Rocky Trl, Cedarville, MI 49719-9560 | 2020-11-05 |
| 1700487832 | Emalee Ann Behem | Massage Therapist | 7880 Vincent Rd, Croswell, MI 48422-9010 | 2020-11-04 |
| 1588264238 | Courtney Altmaier | Massage Therapist | 1175 S Smith Rd, Cedarville, MI 49719-9564 | 2020-10-30 |
| 1023617990 | Beth Andrea Schipper | Massage Therapist | 2717 104th Ave, Zeeland, MI 49464-6801 | 2020-10-22 |
| 1528667722 | Elissa Marie Stewart | Massage Therapist | 118 Minnehaha St, Roscommon, MI 48653-7118 | 2020-10-20 |
| 1881292977 | Cheyanne English | Massage Therapist | 119 Columbia Ave E Ste 12, Battle Creek, MI 49015-3765 | 2020-10-12 |
| 1063010288 | Heather R Iavelli | Massage Therapist | 220 Dumaire St, White Lake, MI 48383-2697 | 2020-10-09 |
| 1558968578 | Polly Ann Holmes | Massage Therapist | 359 W Nepessing St Ste B, Lapeer, MI 48446-2182 | 2020-10-02 |
| 1891302493 | Irene Dooley | Massage Therapist | 544 E Kirby St, Detroit, MI 48202-4121 | 2020-09-28 |
| 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.