KENDRA DANE KELLY (NPI# 1962915629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962915629 |
| Entity Type | Individual |
| Full Name | KENDRA DANE KELLY |
| Practice Address |
3803 Yakima Ave Tacoma WA 98418-5020 |
| Mailing Address |
12201 Nottingham Rd Sw Lakewood WA 98498-1224 |
| Practice Telephone | 2532927186 |
| Mailing Telephone | 2532268407 |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2017-11-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA60659959 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467069211 | Kendra Kelly | Nurse Practitioner | 810 Franklin St Se Ste A, Huntsville, AL 35801-4310 | 2020-09-25 |
| Street Address |
3803 YAKIMA AVE |
| City | TACOMA |
| State | WA |
| Zip Code | 98418-5020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083240287 | Zindt Chiropractic Center Pllc | Chiropractor | 3819 S. M St., Tacoma, WA 98418 | 2020-03-19 |
| 1649756792 | Jaime Armenta | Counselor | Tacoma-pierce County Health Department, 3629 South D Street, Tacoma, WA 98418 | 2018-07-12 |
| 1407166655 | Wjm Dental Inc | Dentist | 4002 South M Street, Suite A, Tacoma, WA 98418 | 2010-10-20 |
| 1255453890 | Stephen Joseph Bauml | Chiropractor | 212 So 37th St, Tacoma, WA 98418 | 2007-04-04 |
| 1710015912 | Lincoln Pharmacy LLC | Pharmacy | 821b S 38th St, Tacoma, WA 98418 | 2007-03-01 |
| 1104961093 | Still Well Chiropractic Clinic Inc | Chiropractor | 4537 S Yakima, Tacoma, WA 98418 | 2007-02-20 |
| 1497813851 | Penelope S. Zindt | Chiropractor | 3819 So M, Tacoma, WA 98418 | 2006-12-05 |
| 1902987092 | Donna Leigh Daeschner | Dentist | 4001 So. Yakima Avenue, Tacoma, WA 98418 | 2006-10-17 |
| 1083622971 | Willie James Mccullum | Dentist | 4002 South 'm' Street, Suite A, Tacoma, WA 98418 | 2006-08-04 |
| 1871500322 | Michelle Gray Marconi | Chiropractor | 4537 So. Yakima Ave, Tacoma, WA 98418 | 2006-08-01 |
| Find all providers in zip 98418 | ||||
| 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 |
|---|---|---|---|---|
| 1417558305 | Madelyn Leigh Thomas | Massage Therapist | 2202 6th Ave, Tacoma, WA 98403-1049 | 2020-11-05 |
| 1629684519 | Deon Abdullah | Massage Therapist | 5820 S Sheridan Ave, Tacoma, WA 98408-2304 | 2020-09-16 |
| 1699389205 | Elissa Aspuria | Massage Therapist | 4008 S Pine St, Tacoma, WA 98409-5612 | 2020-09-01 |
| 1841803772 | Cheryl Tjulander | Massage Therapist | 1102 A St Ste 408, Tacoma, WA 98402-5010 | 2020-08-29 |
| 1336768845 | Lee Pham Parkin | Massage Therapist | 2118 Yakima Ct, Tacoma, WA 98405-3864 | 2020-04-14 |
| 1275168866 | Virginia Drohan | Massage Therapist | 2209 N 30th St Ste 2, Tacoma, WA 98403-3352 | 2020-03-04 |
| 1770117350 | Deja Monique Farrant | Massage Therapist | 10926 113th Ave Sw, Tacoma, WA 98498-1465 | 2020-02-24 |
| 1821635731 | Erin Elise Harris | Massage Therapist | 4916 Center St Ste G, Tacoma, WA 98409-2348 | 2019-12-10 |
| 1366088643 | Bryan Dwight Daniels | Massage Therapist | 2924 N 14th St, Tacoma, WA 98406-6906 | 2019-11-21 |
| 1255977559 | Kathleen Deal | Massage Therapist | 2315 Westridge Ave W Apt A10, Tacoma, WA 98466-8204 | 2019-11-21 |
| Find all providers in TACOMA | ||||
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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.