MS. KELLI RAE LOGAN (NPI# 1871813360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871813360 |
| Entity Type | Individual |
| Full Name | MS. KELLI RAE LOGAN |
| Credential | LMT/ PTA |
| Practice Address |
74 Long Pond Rd Plymouth MA 02360 |
| Mailing Address |
74 Long Pond Rd Plymouth MA 02360-2605 |
| Practice Telephone | 5087329797 |
| Mailing Telephone | 5087329797 |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2010-06-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 8691 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
74 LONG POND RD |
| City | PLYMOUTH |
| State | MA |
| Zip Code | 02360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558684977 | Wp Bryan Group, LLC | Massage Therapist | 74 Long Pond Rd, Plymouth, MA 02360-2605 | 2010-03-12 |
| 1275991689 | Coastal Hearing Clinic Inc. | Hearing Aid Equipment | 74 Long Pond Rd, 1b, Plymouth, MA 02360-2605 | 2016-02-01 |
| 1235448614 | Charlotte Lucy Stiefel | Massage Therapist | 74 Long Pond Rd, Plymouth, MA 02360-2605 | 2010-10-01 |
| 1376852384 | Annmarie Raymond | Massage Therapist | 74 Long Pond Rd, Plymouth, MA 02360-2605 | 2010-09-26 |
| 1396053922 | Cynthia Sykes | Massage Therapist | 74 Long Pond Rd, Elements Therapeutic Massage, Plymouth, MA 02360-2605 | 2010-09-16 |
| 1043530918 | Toni Lee Picariello | Massage Therapist | 74 Long Pond Rd, Plymouth, MA 02360-2605 | 2010-06-02 |
| 1134445315 | Angela Marie Williamson | Massage Therapist | 74 Long Pond Rd, Plymouth, MA 02360-2605 | 2010-04-14 |
| 1659697241 | Allison Medeiros | Massage Therapist | 74 Long Pond Rd, Plymouth, MA 02360-2605 | 2010-04-08 |
| 1184948010 | Cara Marie King | Massage Therapist | 74 Long Pond Rd, Plymouth, MA 02360-2605 | 2010-03-22 |
| 1821312729 | Jill E Wilkinson | Massage Therapist | 74 Long Pond Rd, Plymouth, MA 02360-2605 | 2010-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801425053 | Geraldine Veronica Thissell | Speech-Language Pathologist | 28 Nathan Lane, Plymouth, MA 02360 | 2020-04-08 |
| 1447889621 | Corrections - Comprehensive Treatment Centers, LLC | Clinic/Center | One Bumps Pond Road, Plymouth, MA 02360 | 2020-04-08 |
| 1427690247 | Osp Children's Therapy Center | Physical Therapist | 130 Industrial Park Rd. A, Plymouth, MA 02360 | 2019-10-14 |
| 1265996219 | Housecall Physicians, Inc | Family Medicine | 31 Home Depot Drive, Suite 283, Plymouth, MA 02360 | 2019-01-24 |
| 1306329271 | Patricia Jane Whitaker | Social Worker | Masac-plymouth, 1 Bumps Pond Road, Plymouth, MA 02360 | 2018-09-07 |
| 1366934572 | Cindy Oneil | Registered Nurse | 10 Cordage Park, Plymouth, MA 02360 | 2018-06-04 |
| 1275021685 | Alexandra Andrew | Acupuncturist | 225 Water St Ste B239, Plymouth, MA 02360 | 2018-05-01 |
| 1417445289 | Susan Ann Adams | Case Manager/Care Coordinator | 260 Ship Pond Rd, Plymouth, MA 02360 | 2018-04-27 |
| 1588178776 | Cassandra Noel Denayer | Registered Nurse | 7 Rodman Lane, Plymouth, MA 02360 | 2017-11-27 |
| 1205345576 | Chibueze George Okoro | Dentist | Dr Dental 125 Samoset Street, Plymouth, MA 02360 | 2017-09-29 |
| Find all providers in zip 02360 | ||||
| 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 |
|---|---|---|---|---|
| 1871141523 | Gregory Zilberg | Massage Therapist | 14190 55th Pl N, Plymouth, MN 55446-2018 | 2019-08-27 |
| 1104308014 | Shannon Lynn Smith | Massage Therapist | 15131 Northville Rd, Plymouth, MI 48170-2548 | 2018-09-06 |
| 1346769098 | Diane Elizabeth Kuzara | Massage Therapist | 496 W. Ann Arbor Trail, Suite 104, Plymouth, MI 48170 | 2017-09-13 |
| 1285173120 | Michele Sims | Massage Therapist | 168 Court St Ste 4, Plymouth, MA 02360-4036 | 2017-02-13 |
| 1942611827 | Corrine Foster | Massage Therapist | 130 E Liberty St, Plymouth, MI 48170 | 2014-05-14 |
| 1447661624 | Nicole Eskola | Massage Therapist | 2000 Merrimac Ln N, Suite 201, Plymouth, MN 55447-4698 | 2014-05-09 |
| 1558705384 | Eve Chantelle Burnham | Massage Therapist | 5105 Norwood Ln N, Plymouth, MN 55442-2069 | 2013-04-23 |
| 1154676526 | Betty Jane Brykell | Massage Therapist | 9117 Marc Trl, Plymouth, MI 48170-3946 | 2012-07-20 |
| 1972867257 | Shelby Maclary | Massage Therapist | 7 S Park Ave, Plymouth, MA 02360-3831 | 2012-07-01 |
| 1326305780 | Nawal Therese Thompson | Massage Therapist | 2000 Merrimac Ln N Ste 201, Plymouth, MN 55447-4698 | 2012-04-23 |
| Find all providers in PLYMOUTH | ||||
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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.