Duyane Lewis Kelly in Vancouver - Massage Therapist
Duyane Lewis Kelly - NPI 1942418322
Duyane Lewis Kelly is a Massage Therapist in Vancouver, Washington. Duyane Lewis Kelly practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Duyane Lewis Kelly is 1942418322. The last update date is 2007-07-08.
Duyane Lewis Kelly's current location address is 12116 Se Mill Plain Blvd, Vancouver, Washington. You can contact this provider via phone number 3602565253 and fax number 3602565081. The mailing address for Duyane Lewis Kelly is 12116 Se Mill Plain Blvd, Vancouver, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Duyane Lewis Kelly |
|---|---|
| Address | 12116 Se Mill Plain Blvd, Vancouver, Washington |
| Phone Number | 3602565253 |
| Fax Number | 3602565081 |
| Sole Proprietor | N |
| Credentials | LMP |
NPI Number Detail
| NPI Number | 1942418322 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 12116 Se Mill Plain Blvd |
|---|---|
| City | Vancouver |
| State | Washington (WA) |
| Post Code | 986846000 |
| Phone Number | 3602565253 |
| Fax Number | 3602565081 |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | MA00019384 |
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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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What is the unique identification code assigned to Duyane Lewis Kelly by the Centers for Medicare & Medicaid Services?
The Duyane Lewis Kelly has been issued the NPI (National Provider Identifier) 1942418322. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Duyane Lewis Kelly is located?
The Duyane Lewis Kelly is situated at the following address: 12116 Se Mill Plain Blvd, Vancouver, WA, 986846000.
What is the area of specialization for Duyane Lewis Kelly, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Duyane Lewis Kelly is Massage Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225700000X.
On what date did Duyane Lewis Kelly receive its 1942418322 assignment from the Centers for Medicare & Medicaid Services?
The Duyane Lewis Kelly was assigned its 1942418322 on 2007-05-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Duyane Lewis Kelly most recently updated?
The details pertaining to the Duyane Lewis Kelly, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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