MR. KELLY MCKEON


Address: 8650 Martin Way E Ste 207, Lacey, WA 98516-6610
Phone: 3609514504

MR. KELLY MCKEON (NPI# 1699269837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699269837
Entity Type Individual
Full Name MR. KELLY MCKEON
Credential LMT
Practice Address 8650 Martin Way E Ste 207
Lacey
WA 98516-6610
Mailing Address 400 Cooper Point Rd Sw #27 #12228
Olympia
WA 98502
Practice Telephone 3609514504
Practice Fax Number 8778487757
Mailing Telephone 3609514504
Mailing Fax Number 8778487757
Enumeration Date 2018-06-20
Last Update Date 2020-07-15
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist MA60855605 WA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers KELLY MCKEON

NPI Name Taxonomy Address Enumeration
1184243305 Kelly Mckeon Student in an Organized Health Care Education/Training Program 110 Irving St Nw Dept Of, Washington, DC 20010-3017 2020-04-09
1457823064 Kelly J Mckeon Physical Therapist 790 N Highway 67 St, Florissant, MO 63031-5108 2018-12-20

Office Location

Street Address 8650 MARTIN WAY E STE 207
City LACEY
State WA
Zip Code 98516-6610

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396707246 David Michael Warwick Chiropractor 8650 Martin Way E Ste 207, Lacey, WA 98516-6610 2006-04-05
1386123156 Lizabeth Aldrich Massage Therapist 8650 Martin Way E Ste 207, Lacey, WA 98516 2018-08-12
1558852889 Jennifer Virivong Massage Therapist 8650 Martin Way E Ste 207, Lacey, WA 98516-6610 2018-05-22
1336643840 Lasondra Fuller Massage Therapist 8650 Martin Way E Ste 207, Lacey, WA 98516-6610 2018-03-20
1619478070 Francisca Marie Dreckman Massage Therapist 8650 Martin Way E Ste 207, Lacey, WA 98516-6610 2018-02-21
1457746679 Bridget Mixon Massage Therapist 8650 Martin Way E Ste 207, Lacey, WA 98516-6610 2015-04-03
1013311422 David M. Warwick Dc Pllc Chiropractor 8650 Martin Way E Ste 207, Lacey, WA 98516-6610 2014-10-14
1558794495 Valerie Thompson Massage Therapist 8650 Martin Way E Ste 207, Lacey, WA 98516-6610 2013-08-14
1447592597 Amber Christine Quinton Massage Therapist 8650 Martin Way E Ste 207, Lacey, WA 98516-6610 2013-03-26
1033497243 Marisa Alyse Rivera Massage Therapist 8650 Martin Way E Ste 207, Lacey, WA 98516-6610 2011-07-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730744210 Michael Oropeza Behavioral Analyst 8282 28th Court Northeast, Suite A, Lacey, WA 98516 2019-05-09
1902361330 Amanda Jessica Mae Allen Behavioral Analyst Basics Nw LLC, 8282 28th Ct Ne Suite A, Lacey, WA 98516 2019-02-11
1619459393 Kayla-renee Williams Behavioral Analyst Basics Nw LLC 8282 28th Ct Ne, Suite A, Lacey, WA 98516 2018-08-30
1174004303 Julie Ann Lisowski Massage Therapist 3532 Cuddy Ln Ne, Lacey, WA 98516 2018-08-26
1740700145 Joseph Brandon Kimmel Denturist 5032 Beverly Dr Ne, Olympia, WA 98516 2017-06-27
1649649880 Katie Cole Behavioral Analyst 8282 28th Ct Ne, Suite A, Basics Nw, LLC, Lacey, WA 98516 2015-09-17
1306234166 Reza Tahernia Dentist 8050 Freedon Lane Ne, Suite C, Lacey, WA 98516 2015-01-02
1770997603 Qualified Surgical Services Pllc Surgery 3697 Cameron Dr Ne, Lacey, WA 98516 2014-06-18
1184048688 Stephanie Renee Hjortedal Specialist/Technologist 8750 Tallon Lane Ne., Lacey, WA 98516 2014-02-05
1295169811 Teasha Corrado Behavioral Analyst 8282 28th Court Ne, Suite A, Lacey, WA 98516 2013-08-30
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Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154922250 Wanju S Kellams Massage Therapist 677 Woodland Square Loop Se # A-8, Lacey, WA 98503-1000 2020-11-04
1508475435 Christina Lufkin Massage Therapist 1607 Dogwood St Se, Lacey, WA 98503-2742 2020-07-27
1447801253 Hawk P Mason Massage Therapist 1445 Galaxy Dr Ne Ste 301, Lacey, WA 98516-4754 2019-09-23
1174004303 Julie Ann Lisowski Massage Therapist 3532 Cuddy Ln Ne, Lacey, WA 98516 2018-08-26
1366931057 Megan M Cronn Massage Therapist 6525 3rd Way Se, Lacey, WA 98503-7932 2018-05-08
1659895449 Kayla Lord Massage Therapist 5750 Ruddell Rd Se Ste B, Lacey, WA 98503-5100 2017-08-02
1518493055 Nearing Total Health, Pllc Massage Therapist 4520 Intelco Loop Se Bldg 3, Lacey, WA 98503-6008 2017-05-03
1720539281 Keveyonna Davis Massage Therapist 677 Woodland Square Loop Se Ste A8, Lacey, WA 98503-1000 2016-10-19
1710432620 Owen Wise Massage Therapist 8730 Tallon Ln Ne Ste 104, Lacey, WA 98516-6609 2016-08-20
1376993576 Stacie Lynn Edwards Massage Therapist 4520 Intelco Loop Se, Ste 3a, Lacey, WA 98503-6008 2016-06-17
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Competitor

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City LACEY
Zip Code 98516

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Dataset Information

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.

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