MRS. KELLY LYNN MARTIN (NPI# 1679098727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679098727 |
| Entity Type | Individual |
| Full Name | MRS. KELLY LYNN MARTIN |
| Credential | LMT |
| Practice Address |
6537 Fairlane Dr Boston NY 14025-9637 |
| Practice Telephone | 7162267020 |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2017-08-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 029564 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578100111 | Kelly Martin | Speech-Language Pathologist | 948 Dinosaur Dr, Erie, CO 80516-6576 | 2019-12-02 |
| 1386298677 | Kelly Marie Martin | Licensed Practical Nurse | 909 S Michael St, Saint Marys, PA 15857-3030 | 2019-07-25 |
| 1477117885 | Kelly Rae Martin | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13881 Schuelke Beach Rd Nw, Miltona, MN 56354 | 2019-05-01 |
| 1891231379 | Kelly Martin | Speech-Language Pathologist | 3513 Indian Oaks Ln, Toledo, OH 43617-3007 | 2017-01-09 |
| 1376900654 | Kelly Ann Martin | Counselor | 5501 Pandale Valley Dr, Mckinney, TX 75071-7721 | 2016-01-18 |
| 1245616481 | Kelly A Martin | Counselor | 8180 Eagle Mountain Cir, Fort Worth, TX 76135-9531 | 2015-08-10 |
| 1316330178 | Kelly Martin | Rehabilitation Practitioner | 12111 N 66th Ave, Glendale, AZ 85304-1625 | 2015-03-17 |
| 1538563077 | Kelly Ann Martin | Counselor | 15208 County Road 1835, Lubbock, TX 79424-8520 | 2014-10-13 |
| 1124430764 | Kelly Michael Martin | Registered Nurse | 1001 S. Gearge St, York, PA 17403 | 2014-06-02 |
| 1205266277 | Kelly Martin | Social Worker | 110 N. Fouth Avenue, Ann Arbor, MI 48107 | 2013-11-12 |
| Street Address |
6537 FAIRLANE DR |
| City | BOSTON |
| State | NY |
| Zip Code | 14025-9637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467793554 | Kathy Zeniuk | Early Intervention Provider Agency | 6540 Hillcrcoft Dr., Boston, NY 14025 | 2013-03-14 |
| 1437496320 | Wendy Weber | Occupational Therapy Assistant | 6868bw West Tillen Rd, Boston, NY 14025 | 2013-01-11 |
| 1013086164 | Charles Joseph Hornberger Sr. | Optometrist | 8425 Boston State Road, Boston, NY 14025 | 2006-11-06 |
| 1407377153 | Marie Catherine Ellis | Licensed Practical Nurse | 140 Pine Street, Hamburg, NY 14025 | 2017-07-03 |
| 1528242062 | Karen L. Leatherbarrow | Speech-Language Pathologist | 10495 Manchester Rd, 10495 Manchester Road, Boston, NY 14025-9505 | 2007-12-19 |
| 1740505643 | Learning Ladder Therapeutic Assoc. Inc. | Early Intervention Provider Agency | 10495 Manchester Rd, Boston, NY 14025-9505 | 2010-04-02 |
| 1265442347 | Bernard J Michaels | Dentist | 9290 Boston State Rd, Boston, NY 14025-9604 | 2006-08-09 |
| 1285134932 | Amanda Maher | Dentist | 9290 Boston State Rd, Boston, NY 14025-9604 | 2018-02-20 |
| 1285989624 | Eugene Khaylomsky | Dentist | 9290 Boston State Rd, Boston, NY 14025-9604 | 2012-07-23 |
| 1558561308 | Phanith Leang Lim | Dentist | 9290 Boston State Rd, Boston, NY 14025-9604 | 2007-07-20 |
| Find all providers in zip 14025 | ||||
| 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 |
|---|---|---|---|---|
| 1750997219 | Koray Yalcinkaya | Massage Therapist | 301 Ashmont St, Boston, MA 02124-3813 | 2020-09-21 |
| 1114533718 | Danielle L Haynes | Massage Therapist | 418 Tremont St, Boston, MA 02116-6309 | 2020-09-18 |
| 1881214120 | Chi Liang Luo | Massage Therapist | 200 Lincoln St Ste 401, Boston, MA 02111-2422 | 2020-04-16 |
| 1164051033 | Arthur Paul Brodie | Massage Therapist | Boston Athletic Club, 653 Summer St., Boston, MA 02110 | 2020-04-03 |
| 1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
| 1053883652 | Luxurious Sense Corporation | Massage Therapist | 252 Newbury St Ste 2, Boston, MA 02116-2416 | 2018-12-20 |
| 1104300193 | Delilah Garcia | Massage Therapist | 64 American Legion Hwy, Boston, MA 02124-1506 | 2018-09-17 |
| 1518466218 | Yiren Corporation | Massage Therapist | 11 Edinboro St Ste 1, Boston, MA 02111-2138 | 2018-02-08 |
| 1780111229 | Milan A. Baudelaire | Massage Therapist | 20 Charlesgate W Apt 320, Boston, MA 02215-2703 | 2017-05-15 |
| 1902261563 | Denia Cobb | Massage Therapist | 33 Winthrop St, Boston, MA 02119-2390 | 2015-12-28 |
| Find all providers in BOSTON | ||||
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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.