SHAMARAYA TRA'NECE KELLY (NPI# 1477164234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477164234 |
Entity Type | Individual |
Full Name | SHAMARAYA TRA'NECE KELLY |
Credential | LMT |
Practice Address |
614 Evergreen St Starke FL 32091-1812 |
Practice Telephone | 4076944943 |
Mailing Telephone | 4076944943 |
Enumeration Date | 2020-08-13 |
Last Update Date | 2020-08-13 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA92417 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
614 EVERGREEN ST |
City | STARKE |
State | FL |
Zip Code | 32091-1812 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548758428 | North Florida Pediatrics, Pa | Pediatrics | North Florida Pediatrics, Pa, 417 East Call Street, Starke, FL 32091 | 2018-04-26 |
1568849313 | Myhealth Medical Association | Clinical Nurse Specialist | 3900 Se 38th Ave, Starke, FL 32091 | 2015-04-30 |
1801043641 | Michael Leonard Schlofman | Optometrist | 292 Lafayette St, Starke, FL 32091 | 2008-08-22 |
1790945236 | Nf Windsor LLC | Skilled Nursing Facility | 602 E. Laura Street, Starke, FL 32091 | 2008-06-09 |
1457564312 | Betsy Regina Ledbetter | Developmental Therapist | 417 W. Call St., Starke, FL 32091 | 2007-05-08 |
1841322245 | Melissa Diane Smith | Massage Therapist | 9551 Nw Cr 225, Starke, FL 32091 | 2007-03-12 |
1619010220 | Sunil Choudary Paladugu | Pharmacist | 470 W Madison St., Starke, FL 32091 | 2007-02-14 |
1043356215 | Shri Sairam Drugs LLC | Pharmacy | 395 W Madison St, Starke, FL 32091 | 2007-01-29 |
1962582742 | Virgil A Berry Jr. | Chiropractor | 601 E Call St, Starke, FL 32091 | 2006-10-16 |
1497786099 | Thomas Joseph Collins | Physician Assistant | 44th Cst/wmd Bldg# 4398, Camp Blanding Joint Training Center, Starke, FL 32091 | 2006-07-05 |
Find all providers in zip 32091 |
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 |
---|---|---|---|---|
1932766813 | Libbys Art of Healing LLC | Massage Therapist | 107 E Call St, Starke, FL 32091-3317 | 2019-05-25 |
1548703739 | Brandi Elena Smith | Massage Therapist | 309 Christian St, Starke, FL 32091-3129 | 2016-11-21 |
1679966303 | Angela Coggins-anderson | Massage Therapist | 9678 Sw 136th St, Starke, FL 32091-5955 | 2015-03-05 |
1740454123 | Myra Joann Leshuk | Massage Therapist | 101 E Call St, Starke, FL 32091-3317 | 2008-04-16 |
1558544247 | Michael J. Arsenault | Massage Therapist | 418 W Call St, Starke, FL 32091-3116 | 2007-12-17 |
1841322245 | Melissa Diane Smith | Massage Therapist | 9551 Nw Cr 225, Starke, FL 32091 | 2007-03-12 |
1134786015 | Kristina Libby Crawford | Massage Therapist | 107 E Call St, Starke, FL 32091-3317 | 2019-05-25 |
1114226339 | Sara Ann Denmark | Massage Therapist | 116 N Walnut St, Starke, FL 32091-3225 | 2011-03-28 |
1801191200 | Rebecca Lynne Hinson | Massage Therapist | 225 S Orange St, Starke, FL 32091-3833 | 2011-01-14 |
1356669964 | Wendy A Wright | Massage Therapist | 225 S Orange St, Starke, FL 32091-3833 | 2010-05-06 |
Find all providers in STARKE |
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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.