KYLIE ELLISON (NPI# 1922415207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922415207 |
| Entity Type | Individual |
| Full Name | KYLIE ELLISON |
| Credential | LMT |
| Practice Address |
2140 W Grande Blvd Suite A Tyler TX 75703-0563 |
| Mailing Address |
5353 Keller Springs Rd 1522 Dallas TX 75248-2778 |
| Practice Telephone | 9035211358 |
| Mailing Telephone | 9035211358 |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2014-07-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT110273 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2140 W GRANDE BLVD SUITE A |
| City | TYLER |
| State | TX |
| Zip Code | 75703-0563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447207501 | William Xavier Bratcher | Chiropractor | 2140 W Grande Blvd, Suite A, Tyler, TX 75703 | 2006-05-27 |
| 1326085036 | Luther Burbank Bratcher | Chiropractor | 2140 W Grande Blvd, Ste A, Tyler, TX 75703 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174155477 | Choice Supportive Care Team Inc. | Family Medicine | 4293 Kinsey Drive, Tyler, TX 75703 | 2020-02-05 |
| 1770052532 | Refinery Chiropractic LLC | Chiropractor | 16637 Old Jacksonville Hwy, Suite D, Tyler, TX 75703 | 2018-11-21 |
| 1215419353 | Deidre Lynn Fergason | Occupational Therapy Assistant | 3505 Old Jacksonville Hwy, Tyler, TX 75703 | 2018-09-05 |
| 1710473681 | Justin Taylor Ross | Dentist | 8938 S Broadway Ave Ste 380, Tyler, TX 75703 | 2018-07-03 |
| 1457843450 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 8938 South Broadway, Ste 480, Tyler, TX 75703 | 2018-06-05 |
| 1083106462 | Integrity Health | Internal Medicine | 5605 Old Bullard Rd Ste B, Tyler, TX 75703 | 2018-06-01 |
| 1427572544 | Cody Wayne Graham | Pharmacist | 5415 S. Broadway Ave., Tyler, TX 75703 | 2017-07-31 |
| 1750805941 | Roger Bryan Chapman | Nurse Practitioner | 6115 New Copeland Rd, Tyler, TX 75703 | 2017-07-28 |
| 1427570084 | Darah Lynne Dahlem | Speech-Language Pathologist | 401 E. Front Street Ste 123, Tyler, TX 75703 | 2017-07-14 |
| 1194267468 | Herman Lester Hampton Jr. | Surgery | 5803 Regents Row, Tyler, TX 75703 | 2016-11-17 |
| Find all providers in zip 75703 | ||||
| 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 |
|---|---|---|---|---|
| 1447757984 | Erica Suzanne Ingram | Massage Therapist | 4055 Hogan Dr, Tyler, TX 75709-6930 | 2018-04-11 |
| 1669869228 | Suzanna Moody | Massage Therapist | 704 South Bois Darc Avenue, Tyler, TX 75701 | 2015-04-22 |
| 1356734321 | Jennifer Jolley | Massage Therapist | 6839 Old Jacksonville Hwy, Tyler, TX 75703-0565 | 2015-03-14 |
| 1437451705 | Vartiter Terzian-green | Massage Therapist | 2300 Plume Dr, Tyler, TX 75703-1717 | 2010-11-18 |
| 1326283250 | Taylor Quinnon Mcwilliams | Massage Therapist | 4513 Troup Hwy, Tyler, TX 75703-2350 | 2008-12-05 |
| 1821552159 | Tyler Massage, LLC | Massage Therapist | 704 S Bois D Arc Ave, Tyler, TX 75701-1503 | 2019-01-31 |
| 1174021430 | Sophia Lee Harkey | Massage Therapist | 401 E Front St, Tyler, TX 75702-8213 | 2018-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215743 | Stephanie S Bell | Massage Therapist | 5415 Parry Ave, Dallas, TX 75223-1856 | 2020-11-07 |
| 1437750239 | Vincent Trinh | Massage Therapist | 8219 La Roche Ln, Houston, TX 77036-7305 | 2020-11-06 |
| 1295336691 | Emily Burris | Massage Therapist | 1202 Juniper, Princeton, TX 75407-2867 | 2020-11-03 |
| 1790386043 | Julian Denman | Massage Therapist | 4009 Victory Dr Apt C311, Austin, TX 78704-7588 | 2020-11-03 |
| 1154922474 | Shavana Williams | Massage Therapist | 3787 Perrin Central Blvd Apt 927, San Antonio, TX 78217-2822 | 2020-11-03 |
| 1821698960 | Whivolyn Thomas | Massage Therapist | 3939 Synott Rd Apt 402, Houston, TX 77082-5231 | 2020-10-28 |
| 1790385730 | Beatriz Y Ogarek | Massage Therapist | 9945 Barker Cypress Rd Ste 200, Cypress, TX 77433-5319 | 2020-10-28 |
| 1598364002 | Angelique Bella | Massage Therapist | 2832 Rush Creek Rd, Mckinney, TX 75072-7224 | 2020-10-26 |
| 1770182255 | Tyana Washington | Massage Therapist | 1018 Port Neches Dr, Little Elm, TX 75068-5935 | 2020-10-26 |
| 1235738717 | Daniel Peterson | Massage Therapist | 5800 Brodie Ln Apt 216, Austin, TX 78745-2530 | 2020-10-26 |
| 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.