MRS. DAWN MICHELLE KELLEY (NPI# 1376070276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376070276 |
| Entity Type | Individual |
| Full Name | MRS. DAWN MICHELLE KELLEY |
| Credential | CMT |
| Practice Address |
6215 Covington Rd Fort Wayne IN 46804-7311 |
| Mailing Address |
3222 Wakashan Pl Fort Wayne IN 46815-6476 |
| Practice Telephone | 2607555953 |
| Practice Fax Number | 2607555956 |
| Mailing Telephone | 2605791037 |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2017-05-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT20902231 | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386728327 | Dawn R Kelley | Physical Therapist | 1913 E 19th Ave, Winfield, KS 67156-5303 | 2006-10-25 |
| Street Address |
6215 COVINGTON RD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804-7311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841484482 | Nathaniel Robert Hiss | Chiropractor | 6215 Covington Rd, Fort Wayne, IN 46804-7311 | 2007-08-28 |
| 1700181039 | Hb Health, LLC | Chiropractor | 6215 Covington Rd, Fort Wayne, IN 46804-7311 | 2011-01-18 |
| 1720304702 | Troy Benjamin Byall | Chiropractor | 6215 Covington Rd, Fort Wayne, IN 46804-7311 | 2010-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350344 | Derek Mumaw | Physical Therapist | 8420 Illinois Rd, Fort Wayne, IN 46804 | 2020-09-15 |
| 1942840228 | Erin M Mason | Behavior Technician | 5601 Coventry Ln, Fort Wayne, IN 46804 | 2020-01-14 |
| 1346880879 | Emily A Abdalla | Behavior Technician | 5601 Coventry Ln., Fort Wayne, IN 46804 | 2020-01-13 |
| 1083265433 | Fort Wayne Endodontics | Dentist | 9407 Illinois Rd, Fort Wayne, IN 46804 | 2019-09-26 |
| 1689140949 | Harrison Dental Group II, LLC | Dentist | 1333 Getz Rd, Fort Wayne, IN 46804 | 2018-10-15 |
| 1346731908 | Erin Nicole Zimmerman | Nurse Practitioner | 10170 Illinois Rd # 14, Fort Wayne, IN 46804 | 2018-05-19 |
| 1417446022 | Mary Harrington | Physical Therapist | 3320 Copper Hill Run, Fort Wayne, IN 46804 | 2018-05-09 |
| 1942701214 | Joshawa Todd Torres | Marriage & Family Therapist | 5651 Coventry Ln # 116, Fort Wayne, IN 46804 | 2018-02-22 |
| 1194235408 | Mitchell Kory Meyer | Specialist/Technologist | 9125 Yellow Tree Ct, Fort Wayne, IN 46804 | 2017-10-02 |
| 1902324916 | Emily Rene Sagstetter | Specialist/Technologist | 6034 Liberty Glade Ct, Fort Wayne, IN 46804 | 2017-08-30 |
| Find all providers in zip 46804 | ||||
| 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 |
|---|---|---|---|---|
| 1629677604 | Dameta Diane Williams | Massage Therapist | 3525 Lake Ave, Fort Wayne, IN 46805-5599 | 2020-10-21 |
| 1386284487 | Jessica Wright | Massage Therapist | 1230 Ruston Pass Ste B, Fort Wayne, IN 46825-1572 | 2020-01-07 |
| 1861031510 | Bristol Auburn Witte | Massage Therapist | 3215 N Anthony Blvd Ste D, Fort Wayne, IN 46805-2259 | 2019-12-29 |
| 1942862024 | Nikya Lowry | Massage Therapist | 6014 Brandy Chase Cv, Fort Wayne, IN 46815-7601 | 2019-06-28 |
| 1154985224 | Shelley Ann Vogelgesang | Massage Therapist | 347 Airport North Office Park, Fort Wayne, IN 46825-6703 | 2019-04-24 |
| 1245796093 | Jonquil Jones | Massage Therapist | 2430 Lake Ave, Fort Wayne, IN 46805-5406 | 2019-02-18 |
| 1598250144 | Altermease Gleason | Massage Therapist | 3406 Thames Drive, Fort Wayne, IN 46815 | 2018-06-26 |
| 1982063582 | Bonnie May Barlow | Massage Therapist | 3634 New Vision Dr, Fort Wayne, IN 46845-1706 | 2016-02-11 |
| 1851775209 | Stephanie Florin | Massage Therapist | 5111 N Bend Dr, Fort Wayne, IN 46804-1753 | 2015-07-15 |
| 1588066914 | Sara Matteucci | Massage Therapist | 3102 Mallard Cove Ln, Fort Wayne, IN 46804-2882 | 2014-09-17 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
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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.