KELLY GRAY (NPI# 1891043675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891043675 |
| Entity Type | Individual |
| Full Name | KELLY GRAY |
| Credential | LMT |
| Practice Address |
510 State Ave Ste 3 Hampton IL 61256-9690 |
| Mailing Address |
29 Shady Bch Geneseo IL 61254-9106 |
| Practice Telephone | 3097519790 |
| Mailing Telephone | 3097375029 |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2012-08-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 227.011622 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467951491 | Kelly L Gray | Registered Nurse | 21410 N 19th Ave Ste 114, Phoenix, AZ 85027-2755 | 2018-02-05 |
| 1114328242 | Kelly Gray | Massage Therapist | 7792 Patton Rd, Dane, WI 53529-9715 | 2014-09-08 |
| 1700145281 | Kelly Gray | Pharmacist | 16212 Monnet Place Ct, Charlotte, NC 28278-0099 | 2012-05-03 |
| 1366727133 | Kelly Gray | Pharmacist | 4605 Montgomery Road, Norwood, OH 45212 | 2011-10-12 |
| 1821312224 | Kelly Gray | Dietitian, Registered | 330 Shamrock Rd, Manchester, KY 40962-9201 | 2010-03-15 |
| 1811219736 | Kelly Gray | Pharmacist | 41 Albany Sreet, Cazenovia, NY 13035 | 2010-02-19 |
| 1417019076 | Kelly A. Gray | Physical Therapist | 42 E 32nd St, Bayonne, NJ 07002-4709 | 2006-12-13 |
| 1700346798 | Kelly Gray | Registered Nurse | 5231 Penn Ave Fl 1, Pittsburgh, PA 15224-1768 | 2019-03-25 |
| 1134511314 | Kelly Gray | Speech-Language Pathologist | 815 Triplett St, Owensboro, KY 42303-3564 | 2015-02-25 |
| 1215333232 | Kelly Ann Baker Gray | Behavioral Analyst | 12040 98th Ave Ne, Suite 204, Kirkland, WA 98034-4290 | 2014-11-18 |
| Street Address |
510 STATE AVE STE 3 |
| City | HAMPTON |
| State | IL |
| Zip Code | 61256-9690 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164587762 | Porter Drug Inc | Pharmacy | 621 State Avenue, Hampton, IL 61256 | 2006-12-26 |
| 1598965980 | Richard L Day Jr. | Dentist | 713 State Ave, Hampton, IL 61256-7720 | 2007-07-23 |
| 1053853796 | Greggory Goodman | Clinical Ethicist | 508 14th Avenue Ct, Hampton, IL 61256-9603 | 2016-11-11 |
| 1770959504 | Melissa Ann Duncan | Nurse Practitioner | 622 13th Ave, Hampton, IL 61256-9611 | 2015-08-16 |
| 1407058977 | Hampton School District 29 | Local Education Agency (LEA) | 206 5th St, Hampton, IL 61256-9662 | 2007-06-05 |
| 1750890737 | Gina Diane Glassford | Speech-Language Pathologist | 206 5th St, Hampton, IL 61256-9662 | 2017-09-22 |
| 1790172344 | Mitchel Wright | Specialist/Technologist | 201 5th St, Hampton, IL 61256-9662 | 2015-04-22 |
| 1497713788 | Hampton Health and Wellness | Chiropractor | 94 Kennelworth Cir, Hampton, IL 61256-9663 | 2006-05-03 |
| 1962956391 | Alyssa Morrissey | Speech-Language Pathologist | 318 8th Ave, Hampton, IL 61256-9665 | 2016-08-15 |
| 1407900269 | Tracey Lee Earl | Registered Nurse | 330 8th Ave, Hampton, IL 61256-9665 | 2007-01-22 |
| Find all providers in zip 61256 | ||||
| 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 |
|---|---|---|---|---|
| 1265033211 | Kati Lambert | Massage Therapist | 100 Bridge St Ste D, Hampton, VA 23669-4067 | 2020-11-05 |
| 1508477829 | Cicely Stewart | Massage Therapist | 1839 Bancroft Dr, Hampton, VA 23663-2025 | 2020-08-11 |
| 1790316560 | Valeria Reynolds | Massage Therapist | 2021a Cunningham Dr Ste 3, Hampton, VA 23666-3320 | 2020-01-30 |
| 1356981427 | Daniela Alessandra Stevenson | Massage Therapist | 29 South Mallory Street, Hampton, VA 23663-2366 | 2020-01-07 |
| 1952878035 | Gigton Ameen | Massage Therapist | 1832 Mcdonough Rd, Hampton, GA 30228-1587 | 2018-10-26 |
| 1831543503 | Carrie Jean Boehnlein | Massage Therapist | 730 Blair Ave, Hampton, VA 23661-3107 | 2016-04-19 |
| 1407100498 | Manisha A Mehta | Massage Therapist | 11764 Hastings Bridge Rd, Hampton, GA 30228-6271 | 2012-10-30 |
| 1982957593 | Sabrina Rae Adams | Massage Therapist | 1062 Bear Creek Blvd, Suite 100, Hampton, GA 30228-1849 | 2012-10-19 |
| 1528686979 | Leah Ann Savage | Massage Therapist | 540 Lafayette Rd, Hampton, NH 03842-3344 | 2020-07-13 |
| 1689205569 | John Anthony Tango II | Massage Therapist | 2021a Cunningham Dr Ste 3, Hampton, VA 23666-3320 | 2020-01-30 |
| Find all providers in HAMPTON | ||||
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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.