KELLY R. CULVER (NPI# 1457534422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457534422 |
| Entity Type | Individual |
| Full Name | KELLY R. CULVER |
| Credential | LMP |
| Practice Address |
407 W 29th Ave Kennewick WA 99337-5013 |
| Practice Telephone | 5095864587 |
| Practice Fax Number | 8883498276 |
| Mailing Telephone | 5095864587 |
| Mailing Fax Number | 8883498276 |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2011-03-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA00018067 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | DEPT. OF LABOR AND INDUST | 0202335 | 01 |
| Street Address |
407 W 29TH AVE |
| City | KENNEWICK |
| State | WA |
| Zip Code | 99337-5013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982238044 | Sendy D Garibay-flores | Specialist/Technologist | 1609 South Garfield St, Kennewick, WA 99337 | 2020-02-27 |
| 1407386535 | Robin Roderick | Dental Hygienist | 2510 W. 35th Ave, Kennewick, WA 99337 | 2017-06-12 |
| 1134580897 | Pamela Taylor | Counselor | 241907 E State Route 397, Kennewick, WA 99337 | 2016-03-09 |
| 1093119232 | Angela Combs | Nurse Practitioner | 3801 Zintel Way, Suite 120, Kennewick, WA 99337 | 2014-10-17 |
| 1699103036 | Zachary Daniel Mcnair | Physician Assistant | 4008 W 27th Ave, Suite 103, Kennewick, WA 99337 | 2013-10-22 |
| 1326302647 | Yvonne Teresa Sands | Nurse Practitioner | 4008 W 27th Ave Ste 103, Kennewick, WA 99337 | 2012-07-02 |
| 1144403064 | Anja Rasmussen | Physical Therapist | 3101 S. Gum St, Kennewick, WA 99337 | 2007-12-13 |
| 1558585182 | Cynthia Renee Wright | Counselor | 3801 S Zintel Way Ste 120, Kennewick, WA 99337 | 2007-04-13 |
| 1477635159 | Steven R Zirker | Physician Assistant | 4008 W 27th Ave, Suite 103, Kennewick, WA 99337 | 2006-10-20 |
| 1770699886 | Jeanie Edwards | Specialist | 228705 Game Farm Rd, Kennewick, WA 99337 | 2006-08-22 |
| Find all providers in zip 99337 | ||||
| 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 |
|---|---|---|---|---|
| 1831796887 | Mercedes Garrett | Massage Therapist | 4018 W Clearwater Ave Ste B, Kennewick, WA 99336-2643 | 2020-10-02 |
| 1497372833 | Madeline Rose Heutink | Massage Therapist | 703 S Penn Pl, Kennewick, WA 99336-9397 | 2020-07-01 |
| 1497393888 | Kelsie D Parvinen | Massage Therapist | 8350 W. Grandridge Blvd, Suite 100, Kennewick, WA 99336 | 2019-12-16 |
| 1831734011 | Bobby Lee Alton | Massage Therapist | 4206 W 24th Ave Apt A101, Kennewick, WA 99338-9311 | 2019-11-12 |
| 1518518513 | Angela Renee Davidson | Massage Therapist | 712 S Yolo St, Kennewick, WA 99336-9606 | 2019-09-23 |
| 1932678356 | Nereida Sanchez-vizcarra | Massage Therapist | 8131 W Klamath Ct Ste H, Kennewick, WA 99336-5251 | 2018-11-14 |
| 1396211447 | Andrew Christopher Ferguson | Massage Therapist | 520 S Grant St, Kennewick, WA 99336-2013 | 2018-10-16 |
| 1225535461 | Brittney Heer | Massage Therapist | 1586 W 44th Ave, Kennewick, WA 99337-4533 | 2018-04-12 |
| 1881104867 | Heather M Thome | Massage Therapist | 515 N Neel St Ste 105, Kennewick, WA 99336-2256 | 2017-10-04 |
| 1932635497 | Corri Spaur | Massage Therapist | 4321 W 9th Pl, Kennewick, WA 99336-4380 | 2017-05-03 |
| Find all providers in KENNEWICK | ||||
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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.