Kellie D Corman in Lake Charles - Massage Therapist
Kellie D Corman - NPI 1114077476
Kellie D Corman is a Massage Therapist in Lake Charles, Louisiana. Kellie D Corman practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Kellie D Corman is 1114077476. The last update date is 2007-07-08.
Kellie D Corman's current location address is 5843 Elliott Rd, Lake Charles, Louisiana. You can contact this provider via phone number 3374780834. The mailing address for Kellie D Corman is 5843 Elliott Rd, Lake Charles, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kellie D Corman |
|---|---|
| Address | 5843 Elliott Rd, Lake Charles, Louisiana |
| Phone Number | 3374780834 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMT |
NPI Number Detail
| NPI Number | 1114077476 |
|---|---|
| Provider Enumeration Date | 2007-01-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5843 Elliott Rd |
|---|---|
| City | Lake Charles |
| State | Louisiana (LA) |
| Post Code | 706050401 |
| Phone Number | 3374780834 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | LA0232-01 |
|
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 |
|---|---|---|---|
| LA0232-01 | LA | MASSAGE THERAPY LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kellie D Corman by the Centers for Medicare & Medicaid Services?
The Kellie D Corman has been issued the NPI (National Provider Identifier) 1114077476 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Kellie D Corman's facilities are situated?
The facilities of Kellie D Corman are physically located at the following address: 5843 Elliott Rd, Lake Charles, LA, 706050401.
What is Kellie D Corman's area of expertise and its corresponding taxonomy classification?
The Kellie D Corman's field of specialization is Massage Therapist, and it falls under the taxonomy code 225700000X, which categorizes healthcare providers based on their areas of practice.
When did the Kellie D Corman receive its 1114077476?
The Kellie D Corman was issued its 1114077476 on 2007-01-11, which is the date when the organization was assigned this unique identifier.
When was the information regarding Kellie D Corman, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kellie D Corman, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY