MS. KELLY JO MARTINDALE (NPI# 1811519119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811519119 |
| Entity Type | Individual |
| Full Name | MS. KELLY JO MARTINDALE |
| Credential | LMT |
| Practice Address |
3140 Chaparral Dr # C-109 Roanoke VA 24018-4355 |
| Mailing Address |
3205 Courtland Rd Nw Roanoke VA 24012-7722 |
| Practice Telephone | 5405259502 |
| Mailing Telephone | 5407972392 |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2020-05-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 19012789 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3140 CHAPARRAL DR # C-109 |
| City | ROANOKE |
| State | VA |
| Zip Code | 24018-4355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140253 | Luz Dione Carr | Nurse Practitioner | 1934 Maple Leaf Drive, Roanoke, VA 24018 | 2019-05-21 |
| 1467926527 | Embrace Foster Care, LLC | Foster Care Agency | 3912 Electric Road, Building C, Roanoke, VA 24018 | 2019-01-11 |
| 1174005417 | Roanoke Valley Ent & Allergy PC | Otolaryngology | 2154 Mcvitty Rd, Second Floor, Roanoke, VA 24018 | 2018-09-04 |
| 1265928535 | Jane Willis Warner | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24018 | 2018-07-10 |
| 1821584640 | Anchor To Hope Counseling LLC | Counselor | 4370 Starkey Rd Ste 4c-1, Roanoke, VA 24018 | 2018-07-04 |
| 1164938619 | Aurora Domangue | Behavior Technician | 3243 Electric Road, Building E Suite 1b, Roanoke, VA 24018 | 2017-12-20 |
| 1376059089 | Maggie Marie Ridgeway | Behavior Technician | 3243 Electric Rd., Building E Suite 1b, Roanoke, VA 24018 | 2017-12-18 |
| 1700301850 | Nicole Graboski | Speech-Language Pathologist | 4920 Woodmar Drive Sw, Roanoke, VA 24018 | 2017-08-10 |
| 1891215893 | Kimberly Anne Rosenberger | Occupational Therapy Assistant | 2772 Hillbrook Dr., Roanoke, VA 24018 | 2017-06-21 |
| 1083158950 | Encompass Home Health of Roanoke, LLC | Home Health | 5115 Bernard Drive, Suite 205, Roanoke, VA 24018 | 2016-12-13 |
| Find all providers in zip 24018 | ||||
| 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 |
|---|---|---|---|---|
| 1265055719 | Ashley Nichole Brummer | Massage Therapist | 2006 Windsor Ave Sw, Roanoke, VA 24015-2302 | 2020-05-19 |
| 1871125450 | Kelsey Lynn Meador | Massage Therapist | 7768 Williamson Rd, Roanoke, VA 24019-4343 | 2020-02-11 |
| 1336529171 | Kristopher Kearney | Massage Therapist | 2807 Neil Dr, Roanoke, VA 24019-3411 | 2015-06-07 |
| 1073903126 | Stephanie Mitchell | Massage Therapist | 2105 Electric Rd, Suite 103, Roanoke, VA 24018-2315 | 2015-01-28 |
| 1679185821 | Candace Lee Mccray | Massage Therapist | 4600 Brambleton Ave, Roanoke, VA 24018-3437 | 2020-08-19 |
| 1194336164 | Catherine Magee Clements | Massage Therapist | 4600 Brambleton Ave, Roanoke, VA 24018-3437 | 2020-08-13 |
| 1831565902 | Lisa Bivens | Massage Therapist | 1310 3rd St Sw, Roanoke, VA 24016-5219 | 2015-08-12 |
| 1235526070 | Rehabilitative Connections | Massage Therapist | 2105 Electric Rd, Suite 103, Roanoke, VA 24018-2315 | 2015-04-20 |
| 1588054639 | Love Kingsbury | Massage Therapist | 2105 Electric Rd, Suite 103, Roanoke, VA 24018-2315 | 2015-01-28 |
| 1326440363 | Kelly Witt | Massage Therapist | 1015 1st St Sw, Suite2, Roanoke, VA 24016-4430 | 2014-09-22 |
| Find all providers in ROANOKE | ||||
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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.