KELLY GRACE


Address: 850 W Ironwood Dr, 302, Coeur D Alene, ID 83814-4903
Phone: 2086645225

KELLY GRACE (NPI# 1902196595) 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) 1902196595
Entity Type Individual
Full Name KELLY GRACE
Credential LMP
Practice Address 850 W Ironwood Dr
302
Coeur D Alene
ID 83814-4903
Practice Telephone 2086645225
Practice Fax Number 2086645228
Mailing Telephone 2086645225
Mailing Fax Number 2086645228
Enumeration Date 2011-04-15
Last Update Date 2011-04-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist 602786-11 ID Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers KELLY GRACE

NPI Name Taxonomy Address Enumeration
1538631700 Kelly Denise Grace Nurse Practitioner 401 E Lee St, Sardis, MS 38666-1227 2018-12-27
1558727370 Kelly C Grace Counselor 11010 Se Division St, #202, Portland, OR 97266-6400 2016-01-08
1699150169 Kelly Grace Behavioral Analyst 3501 Sheppard Access Rd, Wichita Falls, TX 76306-4235 2015-07-27

Office Location

Street Address 850 W IRONWOOD DR
302
City COEUR D ALENE
State ID
Zip Code 83814-4903

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326042045 Michael J Drager Podiatrist 850 W Ironwood Dr, Ste 301, Coeur D Alene, ID 83814-4903 2005-06-09
1861851370 Pacific Capital and Consulting, LLC Chiropractor 850 W Ironwood Dr, Suite 302, Coeur D Alene, ID 83814-4903 2016-02-12
1255706099 Leah Allen Massage Therapist 850 W Ironwood Dr, Suite 302, Coeur D Alene, ID 83814-4903 2015-12-04
1073988184 Rebecca Moore Massage Therapist 850 W Ironwood Dr, 302, Coeur D Alene, ID 83814-4903 2015-12-01
1578935524 Fabian Harper Chiropractor 850 W Ironwood Dr, Suite 302, Coeur D Alene, ID 83814-4903 2015-10-28
1952797672 Deneige Kristine Haar Chiropractor 850 W Ironwood Dr, Suite 302, Coeur D Alene, ID 83814-4903 2015-04-09
1053734608 Addus Healthcare (idaho), Inc. In Home Supportive Care 850 W Ironwood Dr, Suite 101, Coeur D Alene, ID 83814-4903 2014-01-31
1225388028 Amanda Dee Roby Nurse Practitioner 850 W Ironwood Dr, # 500, Coeur D Alene, ID 83814-4903 2012-09-19
1821374893 Melinda Michelle Segraves Massage Therapist 850 W Ironwood Dr, 302, Coeur D Alene, ID 83814-4903 2011-10-22
1003107343 Diane Benfield Massage Therapist 850 W Ironwood Dr, Suite 302, Coeur D Alene, ID 83814-4903 2011-04-20
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477162675 Dehra Mcfaddan Social Worker 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 2020-07-24
1043838634 Yendi Labelle Nurse Practitioner 1115 N Ironwood Drive, Coeur D'alene, ID 83814 2020-07-09
1295353217 Cultivation, LLC Counselor 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 2020-07-07
1306487517 Northwest Integrated Health, LLP Clinic/Center 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 2019-09-30
1730740465 Connor Williams Physical Therapist 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 2019-06-24
1912480153 Nadine M Lewis Social Worker 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 2018-09-13
1992208631 Orthopedic Surgery and Sports Orthopaedic Surgery 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 2018-03-08
1346758042 Heather Marie Johnson Counselor 7905 Meadowlark Way, Cda, ID 83814 2018-01-16
1881113413 Brevity Treatment Services Counselor 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 2017-09-14
1366969628 Jennifer La Gina Highfield Massage Therapist 1104 N Ste B, Coeur D Alene, ID 83814 2017-08-28
Find all providers in zip 83814

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
1912517525 Heidi Burk Massage Therapist 206 E Indiana Ave Ste 116, Coeur D Alene, ID 83814-2969 2020-08-07
1346808276 Carynne Bailey Massage Therapist 2005 Ironwood Pkwy Ste 220, Coeur D Alene, ID 83814-2647 2019-06-05
1568020451 Misty C Keeler Massage Therapist 4061 Idewild Loop Unit 306, Coeur D Alene, ID 83814-7094 2019-06-05
1538624283 Sarah Judge Massage Therapist 1104 N 4th St Ste B, Coeur D Alene, ID 83814-3217 2019-02-06
1336617372 Coeur D Alene Massage School LLC Massage Therapist 1625 N 4th St Ste 203, Coeur D Alene, ID 83814-6178 2018-11-07
1023516440 Chelsea Stillman Massage Therapist 3157 N Fruitland Ln, Coeur D Alene, ID 83815-8165 2018-01-31
1487166872 Erika Jean Beachler Massage Therapist 1103 E Best Ave Ste D, Coeur D Alene, ID 83814-4878 2017-10-25
1366969628 Jennifer La Gina Highfield Massage Therapist 1104 N Ste B, Coeur D Alene, ID 83814 2017-08-28
1386178390 Briana Crotinger Massage Therapist 520 E Coeur Dalene Ave Rm 2, Coeur D Alene, ID 83814-2873 2017-04-17
1821539776 Amanda Michele Pankratz Massage Therapist 708 N 20th St, Coeur D Alene, ID 83814-5506 2017-03-12
Find all providers in COEUR D ALENE

Competitor

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City COEUR D ALENE
Zip Code 83814

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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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