MRS. KELLY MARIE KOLB (NPI# 1174020440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174020440 |
| Entity Type | Individual |
| Full Name | MRS. KELLY MARIE KOLB |
| Credential | LMT |
| Practice Address |
6615 W Happy Valley Rd Ste B108 Glendale AZ 85310-2608 |
| Mailing Address |
3158 W Hartford Dr Phoenix AZ 85053-1820 |
| Practice Telephone | 6238696711 |
| Mailing Telephone | 4804303268 |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2018-04-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT06563 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245887942 | Kelly Kolb | Social Worker | 2600 Virginia Ave Nw Ste 900, Washington, DC 20037-1930 | 2019-08-19 |
| 1518474907 | Kelly Kolb | Doula | 425 N Tyson Ave, Glenside, PA 19038-3019 | 2018-01-07 |
| Street Address |
6615 W HAPPY VALLEY RD STE B108 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85310-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316597479 | Diana Olp | Technician | 5003 W. Creedance Blvd., Glendale, AZ 85310 | 2019-09-19 |
| 1972091940 | Daniel Hamilton | Physician Assistant | 4946 W Electra Ln, Glendale, AZ 85310 | 2018-04-25 |
| 1265958615 | Rose Ilene Wesol | Registered Nurse | Copper Creek Elementary School, 7071 W Hillcrest Blvd, Glendale, AZ 85310 | 2017-08-17 |
| 1730510785 | Otilia Muresan | Preferred Provider Organization | 22365 N 69th Ave, Glendale, AZ 85310 | 2013-12-02 |
| 1811129026 | Hope Healthcare, LLC | Home Health | 6022 W Robin Ln, Glendale, AZ 85310 | 2009-08-20 |
| 1467699777 | Desert Winds Behavioral Health LLC | Case Management | 6127 W. Westwind Dr., Glendale, AZ 85310 | 2009-01-08 |
| 1083835235 | Amy Marie Mccluer | Occupational Therapy Assistant | 7071 W. Hillcrest Blvd., Glendale, AZ 85310 | 2007-05-02 |
| 1346364866 | Camelia Igna | Assisted Living Facility | 6127 W Westwind Dr, Glendale, AZ 85310 | 2007-03-19 |
| 1124185228 | Daas Healthcare, LLC | Internal Medicine | 19841 N.27th Ave, Suite 300, Phoenix, AZ 85310 | 2007-01-02 |
| 1467545160 | Rgl Development, LLC | Assisted Living Facility | 6735 West Hillcrest Blvd, Glendale, AZ 85310 | 2006-10-02 |
| Find all providers in zip 85310 | ||||
| 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 |
|---|---|---|---|---|
| 1124628920 | Angelina Hull | Massage Therapist | 4318 W Kimberly Way, Glendale, AZ 85308-4411 | 2020-10-29 |
| 1881292035 | Chrysta Beyer | Massage Therapist | 117 W Good Hope Rd, Glendale, WI 53217-3857 | 2020-10-10 |
| 1407461403 | Netthip Kunkaew | Massage Therapist | 920 Avonoak Ter, Glendale, CA 91206-1509 | 2020-09-15 |
| 1932694213 | Michelle Anderson | Massage Therapist | 3460 Ocean View Blvd Ste B, Glendale, CA 91208-3306 | 2018-06-28 |
| 1851895957 | Bethanie Dawn Freshour | Massage Therapist | 4360 W Thunderbird Rd, Glendale, AZ 85306-5027 | 2018-03-22 |
| 1184126062 | Mary A Bocchicchio | Massage Therapist | 5156 W Olive Ave # 404, Glendale, AZ 85302-4205 | 2018-03-06 |
| 1508384520 | Amanda K Ong | Massage Therapist | 5334 W Northern Ave Ste 325, Glendale, AZ 85301-1441 | 2017-08-30 |
| 1619490802 | Danielle Marie Hicks | Massage Therapist | 20325 N 51st Ave Ste 108, Glendale, AZ 85308-5665 | 2017-07-20 |
| 1780036285 | Donn Belrichard | Massage Therapist | 6610 N 47th Ave Ste 5, Glendale, AZ 85301-4163 | 2016-07-07 |
| 1265899975 | Gary Watson | Massage Therapist | 11034 N 55th Ave, Glendale, AZ 85304-3934 | 2016-01-26 |
| Find all providers in GLENDALE | ||||
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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.