Dorothy J Kellum in Venice - Massage Therapist
Dorothy J Kellum - NPI 1730354606
Dorothy J Kellum is a Massage Therapist in Venice, Florida. Dorothy J Kellum practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Dorothy J Kellum is 1730354606. The last update date is 2008-04-23.
Dorothy J Kellum's current location address is 1790 Pomelo Drive, Venice, Florida. You can contact this provider via phone number 9414938596 and fax number 9414938596. The mailing address for Dorothy J Kellum is 1790 Pomelo Drive, Venice, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dorothy J Kellum |
|---|---|
| Address | 1790 Pomelo Drive, Venice, Florida |
| Phone Number | 9414938596 |
| Fax Number | 9414938596 |
| Sole Proprietor | N |
| Credentials | LMT |
NPI Number Detail
| NPI Number | 1730354606 |
|---|---|
| Provider Enumeration Date | 2008-04-23 |
| Last Updated Date | 2008-04-23 |
Provider Mailing Address Detail
| Address | 1790 Pomelo Drive |
|---|---|
| City | Venice |
| State | Florida (FL) |
| Post Code | 342932716 |
| Phone Number | 9414938596 |
| Fax Number | 9414938596 |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | MA0016808 |
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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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| C6078 | FL | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Dorothy J Kellum by the Centers for Medicare & Medicaid Services?
The Dorothy J Kellum has been issued the NPI (National Provider Identifier) 1730354606, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Dorothy J Kellum is physically located?
The Dorothy J Kellum is physically situated at the following address: 1790 Pomelo Drive, Venice, FL, 342932716.
What is the Dorothy J Kellum's specialty and taxonomy code?
The Dorothy J Kellum's specialty is Massage Therapist, and the corresponding taxonomy code is 225700000X.
When did Dorothy J Kellum receive its 1730354606 assignment?
The Dorothy J Kellum was assigned its 1730354606 on 2008-04-23, which is the date when this unique identifier was issued to the organization.
When was the information regarding Dorothy J Kellum, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Dorothy J Kellum, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-04-23.