MS. KAYLA MALONE (NPI# 1740830736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740830736 |
| Entity Type | Individual |
| Full Name | MS. KAYLA MALONE |
| Credential | LMT |
| Practice Address |
535 N Locust Grove Rd Ste 170 Meridian ID 83642-9379 |
| Practice Telephone | 2089172660 |
| Practice Fax Number | 2089172630 |
| Mailing Telephone | 2089172660 |
| Mailing Fax Number | 2089172630 |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2019-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MAS-3072 | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | NA | MAS-3072 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083185144 | Kayla Marie Malone | Behavior Technician | 421 Fayetteville St Ste 1100, Raleigh, NC 27601-3000 | 2018-12-16 |
| 1649721952 | Kayla Malone | Registered Nurse | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2016-10-21 |
| Street Address |
535 N LOCUST GROVE RD STE 170 |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-9379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689089971 | Rock and Armor Physical Therapy and Sports Performance, LLC | Physical Therapist | 535 N Locust Grove Rd Ste 170, Meridian, ID 83642-9020 | 2014-06-25 |
| 1629624366 | Logan Deroin | Physical Therapist | 535 N Locust Grove Rd Ste 170, Meridian, ID 83642-9379 | 2019-08-16 |
| 1336791771 | Christopher Allen Edwards | Physical Therapist | 535 N Locust Grove Rd Ste 170, Meridian, ID 83642-9379 | 2019-07-16 |
| 1710456348 | Cody Suder | Physical Therapist | 535 N Locust Grove Rd Ste 170, Meridian, ID 83642-9379 | 2018-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| 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 |
|---|---|---|---|---|
| 1467069468 | Joanna Patricia Downer | Massage Therapist | 2596 N Stokesberry Pl Ste 130, Meridian, ID 83646-6087 | 2020-09-24 |
| 1689145039 | Jonathon Peter Buffington | Massage Therapist | 25 E Fairview Ave Ste 112, Meridian, ID 83642-4931 | 2018-12-11 |
| 1457881138 | Linda M Dayton | Massage Therapist | 40 W Franklin Rd Ste A, Meridian, ID 83642-2992 | 2017-06-15 |
| 1720521727 | Sydney Ariel Mchugo | Massage Therapist | 323 W. Pine Ave., Meridian, ID 83642 | 2016-11-22 |
| 1386090249 | Denny Dismuke | Massage Therapist | 2000 15th St, Meridian, MS 39301-4138 | 2016-05-10 |
| 1114306271 | Karmen Porter | Massage Therapist | 1529 W Crescent Ct, Meridian, ID 83646-1149 | 2015-05-22 |
| 1346633419 | Westfall Ventures | Massage Therapist | 2572 N Stokesberry Pl, #300, Meridian, ID 83646-6421 | 2015-03-12 |
| 1134511264 | Brittany Laub | Massage Therapist | 2572 N Stokesberry Pl #300, Meridian, ID 83646 | 2015-02-26 |
| 1265822001 | Michele Atkinson | Massage Therapist | 2960 S. Eagle Rd, Suite 100, Meridian, ID 83642 | 2015-02-02 |
| 1477943165 | Jennifer Bohl | Massage Therapist | 1821 Highway 39 N, Suite I, Meridian, MS 39301-2702 | 2015-02-02 |
| Find all providers in MERIDIAN | ||||
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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.