AUDRA GUADALUPE KEELE (NPI# 1932472651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932472651 |
| Entity Type | Individual |
| Full Name | AUDRA GUADALUPE KEELE |
| Credential | LMT |
| Practice Address |
86 Boston Post Rd Ste 1 Waterford CT 06385 |
| Mailing Address |
38 Village Dr Ledyard CT 06339-1230 |
| Practice Telephone | 3604713914 |
| Mailing Telephone | 3604713914 |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2019-08-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 8782 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 167 Broad St, Groton, CT 063403644 | 8604486766 | |
| 3599 Nw Carlton St, Silverdale, WA 983838324 | 3604713914 |
| Street Address |
86 BOSTON POST RD STE 1 |
| City | WATERFORD |
| State | CT |
| Zip Code | 06385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073147666 | Zachary William Gerber | Physical Therapist | 86 Boston Post Rd Ste 1, Waterford, CT 06385-2434 | 2020-02-24 |
| 1619457652 | Jerry Joseph Zoubek | Physical Therapist | 86 Boston Post Rd Ste 1, Waterford, CT 06385-2434 | 2018-08-20 |
| 1104340801 | Nathaniel David Hutt | Physical Therapist | 86 Boston Post Rd Ste 1, Waterford, CT 06385-2434 | 2017-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073140331 | Megan Plattner | Hearing Instrument Specialist | Waterford Commons 903-915 Hartford Tpke, Store 16, Waterford, CT 06385 | 2020-03-26 |
| 1174032288 | Winakor's Healing Practice | Social Worker | 758 Broad St. Ext., Waterford, CT 06385 | 2017-09-21 |
| 1972029494 | Michael C Marshall | Social Worker | 112 Great Neck Road, Empowerment Counseling Services, LLC, Waterford, CT 06385 | 2017-08-16 |
| 1750810297 | Taylor Anne Tomasetti | Occupational Therapist | 24 Doyle Rd, Waterford, CT 06385 | 2017-06-08 |
| 1366993214 | Ascension Naturopathic Healing Center LLC | Clinic/Center | 175 Boston Post Road, Floor 1, Waterford, CT 06385 | 2016-10-16 |
| 1467815126 | Sanborn Optometric Associates | Clinic/Center | 900 Hartford-new London Turnpike, Waterford, CT 06385 | 2016-03-31 |
| 1225499007 | Martin L Hellman, Od, Faao, LLC | Optometrist | 850 Waterford Tpke, Waterford, CT 06385 | 2016-03-08 |
| 1861876211 | Mallory Rose Devona | Counselor | 2 Leary Dr, Waterford, CT 06385 | 2015-07-15 |
| 1336571843 | Carrie M Reynolds | Surgery | 5 Scenic View Dr, Waterford, CT 06385 | 2013-08-07 |
| 1194085076 | Meghana Rao Brito | Internal Medicine | 196 Waterford Pkwy S Ste 103, Waterford, CT 06385 | 2012-05-24 |
| Find all providers in zip 06385 | ||||
| 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 |
|---|---|---|---|---|
| 1851888143 | Kayla Meyers | Massage Therapist | 1265 W Huron St Ste 101, Waterford, MI 48328-3677 | 2018-04-23 |
| 1891204186 | Debra I Cronin | Massage Therapist | 6650 Highland Rd Ste 119, Waterford, MI 48327-1662 | 2017-09-29 |
| 1013497288 | Thomas E Weiberg | Massage Therapist | 1265 W Huron St Ste 101, Waterford, MI 48328-3677 | 2018-08-17 |
| 1083191399 | Mateen Threlkeld | Massage Therapist | 1265 W Huron St Ste 101, Waterford, MI 48328-3677 | 2018-07-19 |
| 1700230190 | Karen Renaud | Massage Therapist | 3513 Elizabeth Lake Rd, Suite 218, Waterford, MI 48328-3075 | 2016-04-21 |
| 1053701383 | Deanna Goodwin | Massage Therapist | 7938 Cooley Lake Rd, Suite 400w, Waterford, MI 48327-4404 | 2015-01-26 |
| 1841680188 | Deanna's Therapeutic Massage LLC | Massage Therapist | 7938 Cooley Lake Rd, Suite 400w, Waterford, MI 48327-4404 | 2015-01-26 |
| 1679835789 | Bridgette Ashley Becker | Massage Therapist | 4624 W Walton Blvd, Suite A, Waterford, MI 48329-3566 | 2012-06-14 |
| 1740542950 | Jennifer Lynn Hartmeyer | Massage Therapist | 5798 Highland Rd, Waterford, MI 48327-1826 | 2012-06-13 |
| 1366704462 | Nicole Lennox | Massage Therapist | 3093 Sashabaw Rd, Ste A, Waterford, MI 48329-4089 | 2012-06-13 |
| Find all providers in WATERFORD | ||||
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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.