MR. KELIE H. R. WELLER (NPI# 1861795841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861795841 |
| Entity Type | Individual |
| Full Name | MR. KELIE H. R. WELLER |
| Credential | LMT |
| Practice Address |
541 Ne 45th Ct Pompano Beach FL 33064-4126 |
| Practice Telephone | 9549414222 |
| Mailing Telephone | 9549414222 |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2010-12-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA34716 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 684303400 | 05 |
| Street Address |
541 NE 45TH CT |
| City | POMPANO BEACH |
| State | FL |
| Zip Code | 33064-4126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790398865 | I Heart Senior and Disable Services LLC | Day Training, Developmentally Disabled Services | 4331 Ne 6th Ave, Pompano Beach, FL 33064 | 2020-08-28 |
| 1912554437 | Nada Boskovic Md Pa | Internal Medicine | 1 W Sample Road, Suite 305, Pompano Beach, FL 33064 | 2019-08-20 |
| 1922562933 | Bless Medical Center Corp | Family Medicine | 440 E Sample Road Suite 107, Pompano Beach, FL 33064 | 2019-01-23 |
| 1568932598 | Cloann Joseph | Occupational Therapy Assistant | 401 E Sample Road, Deerfield Beach, FL 33064 | 2018-12-03 |
| 1255808788 | Select Rehab | Skilled Nursing Facility | 401 Sample Road, Pompano Beach, FL 33064 | 2018-11-02 |
| 1699283515 | Nancy Emilia Santiago | Behavior Technician | 600 Nw 33 St, Pompano Beach, FL 33064 | 2018-01-12 |
| 1194248112 | Mark Walter Gruber I | Counselor | 100 E Sample Rd., #320, Pompano Beach, FL 33064 | 2017-07-21 |
| 1699221531 | Precision Construction & Design Services Inc | Contractor | 1711 B Nw 33 Street, Pompano Beach, FL 33064 | 2016-08-31 |
| 1841645587 | Julia Kyung Yoo, Inc | Point of Service | 4510 N. Federal Hwy, Lighthouse Point, FL 33064 | 2016-05-02 |
| 1487050969 | Michael Sassine | Podiatrist | 2100 Ne 36th St Ste 203, Lighthouse Point, FL 33064 | 2014-11-12 |
| Find all providers in zip 33064 | ||||
| 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 |
|---|---|---|---|---|
| 1386241016 | Heidi Lynn Markert | Massage Therapist | 1395 S Ocean Blvd Apt 604, Pompano Beach, FL 33062-7179 | 2020-10-06 |
| 1659985620 | Juan Manzano | Massage Therapist | 3090 N Course Dr Apt 302, Pompano Beach, FL 33069-3313 | 2020-09-07 |
| 1528461639 | Luz Gallon I | Massage Therapist | 4200 Crystal Lake Dr, Pompano Beach, FL 33064-1291 | 2014-10-02 |
| 1548600810 | Steven Wayne Spencer | Massage Therapist | 2731 Ne 14th St, 705, Pompano Beach, FL 33062-3562 | 2013-07-01 |
| 1780953117 | Marjorie Parchment | Massage Therapist | 3125 W Atlantic Blvd, Pompano Beach, FL 33069-2565 | 2011-12-13 |
| 1508152828 | Ana M Pecanha | Massage Therapist | 138 S. Cypress Rd, Apt. 221, Pompano Beach, FL 33060 | 2011-06-24 |
| 1902137078 | Cameron Cay Sims | Massage Therapist | 802 Cypress Grove Ln Apt 301, Pompano Beach, FL 33069-5046 | 2010-01-28 |
| 1659604544 | Advanced Pro-therapy | Massage Therapist | 401 Ne 39th St, Pompano Beach, FL 33064-4350 | 2009-09-10 |
| 1265669345 | James G Seeley | Massage Therapist | 831 Ne 32nd Ct, Pompano Beach, FL 33064-5363 | 2009-06-16 |
| 1457596934 | Channing Range | Massage Therapist | 1151 Nw 24th Ave, Pompano Beach, FL 33069-1824 | 2008-12-11 |
| Find all providers in POMPANO BEACH | ||||
| City | POMPANO BEACH |
| Zip Code | 33064 |
Please comment or provide details below to improve the information on MR. KELIE H. R. WELLER.
| 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.