KELSEY MARIE SMITH (NPI# 1114536190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114536190 |
| Entity Type | Individual |
| Full Name | KELSEY MARIE SMITH |
| Credential | LMT |
| Practice Address |
5 N Main St Englewood OH 45322-1326 |
| Mailing Address |
209 Brookwood Dr Englewood OH 45322-2461 |
| Practice Telephone | 9378908660 |
| Mailing Telephone | 9379723062 |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 33.024250 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164075636 | Kelsey Morgan Smith | Occupational Therapist | 1059 W Laguna Azul Ave, Mesa, AZ 85210-7125 | 2019-07-23 |
| 1912420381 | Kelsey Smith | Speech-Language Pathologist | 30362 Crepe Myrtle Ct, Daphne, AL 36527-8613 | 2017-07-18 |
| 1659801108 | Kelsey Smith | Chiropractor | 2300 Matlock Rd Ste 4, Mansfield, TX 76063-5018 | 2017-06-18 |
| 1114453123 | Kelsey Smith | Social Worker | 14535 3/4 Dickens St, Sherman Oaks, CA 91403-3761 | 2017-05-11 |
| 1609300300 | Kelsey Smith | Occupational Therapist | 3111 124th Ave Nw Ste 123, Coon Rapids, MN 55433-4573 | 2017-04-19 |
| 1750905964 | Kelsey Deborah Smith | Optometrist | 1075 N Academy Blvd, Colorado Springs, CO 80909-4401 | 2020-06-03 |
| 1962035451 | Kelsey Dee Smith | Physical Therapy Assistant | 209 Fitness Way Ste D, Athens, AL 35611-2452 | 2020-02-13 |
| 1588296081 | Kelsey Smith | Behavior Technician | 632 Eastern Blvd, Clarksville, IN 47129-2463 | 2020-02-12 |
| 1992337042 | Kelsey Margaret Smith | Physical Therapist | 600 Country Club Rd, Eugene, OR 97401-2240 | 2020-02-06 |
| 1790336857 | Kelsey Smith | Student in an Organized Health Care Education/Training Program | 12440 Firestone Blvd Ste 3020, Norwalk, CA 90650-9328 | 2019-09-20 |
| Street Address |
5 N MAIN ST |
| City | ENGLEWOOD |
| State | OH |
| Zip Code | 45322-1326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629073747 | Michael E Hamilton | Family Medicine | 5 N Main St, Englewood, OH 45322-1326 | 2005-06-15 |
| 1316571359 | Richard Phillips | Clinic/Center | 5 N Main St, Englewood, OH 45322-1326 | 2020-02-28 |
| 1962035568 | Cynthia Lynn Barty | Massage Therapist | 5 N Main St, Englewood, OH 45322-1326 | 2020-02-21 |
| 1609409317 | Miami Valley Mt LLC | Clinic/Center | 5 N Main St, Englewood, OH 45322-1326 | 2020-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528608197 | Ashley Lynn Thompson | Nurse Practitioner | 885 N Union Rd., Englewood, OH 45322 | 2020-01-13 |
| 1184181372 | Arianna Genovesi | Health Educator | 885 North Union Road, Englewood, OH 45322 | 2019-02-25 |
| 1740768803 | Michelle Mitchell | Nurse Practitioner | 6700 Commerce Center Drive, Vandalia, OH 45322 | 2018-08-01 |
| 1306260500 | Bonni Buchanan | Contractor | 3540 Artistic Court, Englewood, OH 45322 | 2014-02-07 |
| 1821246745 | Nancy G Osborn | Physical Therapy Assistant | 425 Lauricella Ct., Englewood, OH 45322 | 2008-09-04 |
| 1598936452 | Samaritan Family Care Inc | Clinical Nurse Specialist | 885 Union Road, Englewood, OH 45322 | 2008-03-19 |
| 1245422211 | Sunrise Carmel Assisted Living LLC | Assisted Living Facility | 95 W. Wenger Rd., Englewood, OH 45322 | 2007-08-14 |
| 1578682373 | Dermatology Laser Surgery Center Inc. | Dermatology | 5 Wenger Road, Englewood, OH 45322 | 2007-03-29 |
| 1508953548 | David M Kreusch Dc Corp | Chiropractor | 5 Jefferson Street, Englewood, OH 45322 | 2006-10-10 |
| 1043328529 | Louis J Vitangeli | Dentist | 320 Union Blvd, Englewood, OH 45322 | 2006-08-26 |
| Find all providers in zip 45322 | ||||
| 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 |
|---|---|---|---|---|
| 1295186096 | Roseanne Weaver | Massage Therapist | 1525 Loralin Dr, Englewood, FL 34223-4323 | 2016-06-23 |
| 1578989661 | Kelly Suzanne Dufourd | Massage Therapist | 2875 S Grant St, Englewood, CO 80113-1612 | 2014-03-12 |
| 1588002349 | Fran Bird | Massage Therapist | 1720 Fessler St, Englewood, FL 34223-6426 | 2013-06-13 |
| 1477805026 | Esther L Luna | Massage Therapist | 2800 Placida Rd, Suite 115, Englewood, FL 34224-5557 | 2012-10-05 |
| 1053689091 | Charles Peace | Massage Therapist | 2240 S Mccall Rd, Englewood, FL 34224-5049 | 2011-12-05 |
| 1073890828 | Stephanie Jackson | Massage Therapist | 3172 S Gilpin St, Englewood, CO 80113-3023 | 2011-11-08 |
| 1538447826 | Brenda Hernandez | Massage Therapist | 3470 S Sherman St Ste 1, Englewood, CO 80113-2663 | 2011-08-03 |
| 1609172345 | Nathan Dunagan | Massage Therapist | 3333 S Bannock St Ste 235, Englewood, CO 80110-2453 | 2011-01-27 |
| 1215260849 | Brandy Lynn Pusateri | Massage Therapist | 895 S Indiana Ave, Englewood, FL 34223-3800 | 2009-09-15 |
| 1003059775 | Susan Mary Clingman | Massage Therapist | 5031 S Federal Blvd, Suite 3, Englewood, CO 80110-6364 | 2009-04-10 |
| Find all providers in ENGLEWOOD | ||||
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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.