MS. KELLY SU LIM (NPI# 1932313863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932313863 |
| Entity Type | Individual |
| Full Name | MS. KELLY SU LIM |
| Credential | LMT, CLT |
| Practice Address |
65 Memorial Rd Suite 410 West Hartford CT 06107-2434 |
| Mailing Address |
Po Box 230861 Hartford CT 06123-0861 |
| Practice Telephone | 8603681648 |
| Mailing Telephone | 8603681648 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2013-03-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 6200 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | STATE OF COLORADO MASSAGE THERAPY LICENSE | 1856 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265051320 | Kelly Youngae Lim | Nurse Practitioner | 3663 W 6th St Ste 103, Los Angeles, CA 90020-3047 | 2020-04-09 |
| Street Address |
65 MEMORIAL RD SUITE 410 |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06107-2434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962407718 | Mary W Chang | Dermatology | 65 Memorial Rd, Suite 450, West Hartford, CT 06107-2434 | 2005-06-17 |
| 1932619160 | Daniel Jones | Psychologist | 65 Memorial Rd, West Hartford, CT 06107-2434 | 2017-10-02 |
| 1609128016 | Hartford Healthcare Medical Group, Inc | Podiatrist | 65 Memorial Rd, Ste. 430, West Hartford, CT 06107-2434 | 2012-10-09 |
| 1467709097 | Andrea Dias Murphy | Nurse Practitioner | 65 Memorial Rd, Hartford Healthcare Headache Center, West Hartford, CT 06107-2434 | 2012-08-14 |
| 1972883858 | Hartford Clinical Associates, PC | Podiatrist | 65 Memorial Rd, Suite 430, West Hartford, CT 06107-2434 | 2011-08-23 |
| 1598051674 | Elizabeth Dolan Holzhauer | Dentist | 65 Memorial Rd, Suite 400, West Hartford, CT 06107-2434 | 2011-06-27 |
| 1306038674 | Ricardo Taboada | Anesthesiology | 65 Memorial Rd, Suite 435, West Hartford, CT 06107-2434 | 2007-08-10 |
| 1467588343 | Hartford Dermatology Associates PC | Dermatology | 65 Memorial Rd, Suite 450, West Hartford, CT 06107-2434 | 2007-02-26 |
| 1730240839 | Lee David Brauer | Psychiatry & Neurology | 65 Memorial Rd, Suite 440, West Hartford, CT 06107-2434 | 2006-12-12 |
| 1447337050 | Ob-gyn Associates of West Hartford, PC | Obstetrics & Gynecology | 65 Memorial Rd, Suite 550, West Hartford, CT 06107-2434 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538783659 | Briana Deslauriers | Audiologist | Solinsky Hearing Center, 1013 Farmington Avenue, West Hartford, CT 06107 | 2020-06-04 |
| 1750851366 | Candyce Yvonne Scott | Counselor | 61 S Main St Ste 310, West Hartford, CT 06107 | 2018-11-27 |
| 1124524798 | Image of Light Mental Health Services, LLC | Nurse Practitioner | 45 S Main St Ste 70, West Hartford, CT 06107 | 2018-04-03 |
| 1235632498 | Leila Fussell | Student in an Organized Health Care Education/Training Program | 175 Garfield Rd, West Hartford, CT 06107 | 2018-03-14 |
| 1568818169 | Gail Southard Canzano | Psychologist | 81 S. Main St, West Hartford, CT 06107 | 2016-05-12 |
| 1922470939 | Optimal Wellness of West Hartford | Family Medicine | 1001 Farmington Ave., West Hartford, CT 06107 | 2015-10-29 |
| 1518369925 | Maria Eugenia Garcia-ayala | Psychiatry & Neurology | 65 Memorial Rd Ste 508, West Hartford, CT 06107 | 2014-09-17 |
| 1376884981 | Robert Moss | Pediatrics | 174 Wood Pond Road, West Hartford, CT 06107 | 2013-03-06 |
| 1659630960 | Michael John Grille | Anesthesiology | 65 Memorial Rd #435, Hartford Hospital Pain Treatment Center, West Hartford, CT 06107 | 2012-05-07 |
| 1518268010 | Parsons Health Co. Inc | Legal Medicine | 61 So Main Street, Suite 202, West Hartford, CT 06107 | 2010-11-15 |
| Find all providers in zip 06107 | ||||
| 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 |
|---|---|---|---|---|
| 1548890080 | Ewa Nizielski | Massage Therapist | 12 N Main St Ste 30, West Hartford, CT 06107-1936 | 2020-01-23 |
| 1790333177 | Sharon L Bristol | Massage Therapist | 17 Calvin Rd, West Hartford, CT 06110-2109 | 2019-08-29 |
| 1437474574 | Elena Panaitisor | Massage Therapist | 1530 Boulevard, West Hartford, CT 06107-2536 | 2010-03-31 |
| 1538672886 | Eileen Mary Dickinson | Massage Therapist | 998 Farmington Ave Ste 207, West Hartford, CT 06107-2184 | 2017-11-08 |
| 1871003350 | Lindsey Houser | Massage Therapist | 12 N Main St, West Hartford, CT 06107-1932 | 2017-10-10 |
| 1831592807 | Karen Dean | Massage Therapist | 2446 Albany Ave, West Hartford, CT 06117-2598 | 2014-10-03 |
| 1013228139 | West Hartford Massage Clinic, LLC | Massage Therapist | 45 S Main St, West Hartford, CT 06107-2441 | 2010-06-23 |
| 1669783882 | David Priest | Massage Therapist | 45 S Main St, West Hartford, CT 06107-2441 | 2010-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851991848 | Jillian Alexandra Marchenko | Massage Therapist | 43 Beachland Ave, Milford, CT 06460-7409 | 2020-10-28 |
| 1528667417 | Tracy L Rosiene | Massage Therapist | 211 Route 164, Preston, CT 06365-8726 | 2020-10-21 |
| 1033718036 | Vanessa Gutierrez-santana | Massage Therapist | 31 Middle Ave, Shelton, CT 06484-3949 | 2020-10-21 |
| 1942807268 | Kristine Marie Loomis | Massage Therapist | 41 Crestview Dr, Watertown, CT 06795-1814 | 2020-10-09 |
| 1780291963 | Cheryl C Jones | Massage Therapist | 15 Sylvia Ln, Norwich, CT 06360-2147 | 2020-09-30 |
| 1770190027 | Gladys Vargas | Massage Therapist | 44 S Main St Ste 16, East Windsor, CT 06088-1702 | 2020-09-29 |
| 1174130710 | Satomi Tanaka-munroe | Massage Therapist | 265 Dale Rd, Wethersfield, CT 06109-3250 | 2020-09-28 |
| 1831706464 | Ibsen Oviedo | Massage Therapist | 41 Lovatt St, Norwalk, CT 06851-4127 | 2020-09-28 |
| 1457968075 | Khalaf Jerry | Massage Therapist | 180 N Taylor Ave, Norwalk, CT 06854-1118 | 2020-09-28 |
| 1740897446 | Jennifer Dolan | Massage Therapist | 28 Tahmore Pl, Shelton, CT 06484-1740 | 2020-09-26 |
| Find all providers with the same taxonomy | ||||
| City | WEST HARTFORD |
| Zip Code | 06107 |
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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.