Mrs. Kelly Lynn Martin
Massage Therapist

Address: 6537 Fairlane Dr, Boston, NY 14025-9637
Phone: 7162267020

Mrs. Kelly Lynn Martin (NPI# 1679098727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1679098727
Entity Type Individual
Full Name Mrs. Kelly Lynn Martin
Credential LMT
Gender Female
Practice Address 6537 Fairlane Dr
NY 14025-9637
Practice Telephone 7162267020
Mailing Address 6537 Fairlane Dr
NY 14025-9637
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2017-08-10
Last Update Date 2017-08-10

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 225700000X Massage Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers 029564 NY

Providers with the same name

NPI Name Taxonomy Address Enumeration
1578100111 Kelly Martin Speech-Language Pathologist 948 Dinosaur Dr, Erie, CO 80516-6576 2019-12-02
1386298677 Kelly Marie Martin Licensed Practical Nurse 909 S Michael St, Saint Marys, PA 15857-3030 2019-07-25
1477117885 Kelly Rae Martin Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 13881 Schuelke Beach Rd Nw, Miltona, MN 56354 2019-05-01
1891231379 Kelly Martin Speech-Language Pathologist 3513 Indian Oaks Ln, Toledo, OH 43617-3007 2017-01-09
1376900654 Kelly Ann Martin Counselor 5501 Pandale Valley Dr, Mckinney, TX 75071-7721 2016-01-18
1245616481 Kelly A Martin Counselor 8180 Eagle Mountain Cir, Fort Worth, TX 76135-9531 2015-08-10
1316330178 Kelly Martin Rehabilitation Practitioner 12111 N 66th Ave, Glendale, AZ 85304-1625 2015-03-17
1538563077 Kelly Ann Martin Counselor 15208 County Road 1835, Lubbock, TX 79424-8520 2014-10-13
1124430764 Kelly Michael Martin Registered Nurse 1001 S. Gearge St, York, PA 17403 2014-06-02
1205266277 Kelly Martin Social Worker 110 N. Fouth Avenue, Ann Arbor, MI 48107 2013-11-12
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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
1881214120 Chi Liang Luo Massage Therapist 200 Lincoln St Ste 401, Boston, MA 02111-2422 2020-04-16
1164051033 Arthur Paul Brodie Massage Therapist Boston Athletic Club, 653 Summer St., Boston, MA 02110 2020-04-03
1083187140 Henry Oliveras Massage Therapist 102 Charles Street, Boston, MA 02114 2019-01-10
1053883652 Luxurious Sense Corporation Massage Therapist 252 Newbury St Ste 2, Boston, MA 02116-2416 2018-12-20
1104300193 Delilah Garcia Massage Therapist 64 American Legion Hwy, Boston, MA 02124-1506 2018-09-17
1518466218 Yiren Corporation Massage Therapist 11 Edinboro St Ste 1, Boston, MA 02111-2138 2018-02-08
1780111229 Milan A. Baudelaire Massage Therapist 20 Charlesgate W Apt 320, Boston, MA 02215-2703 2017-05-15
1902261563 Denia Cobb Massage Therapist 33 Winthrop St, Boston, MA 02119-2390 2015-12-28
1346625480 Susan Johnson Massage Therapist 1340 Boylston St Fl 3, Fenwy Health, Boston, MA 02215-4302 2015-07-29
1548521354 Chi Therapy Massage Therapist 200 Lincoln St., Unit 200, Boston, MA 02111 2012-06-07
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Office Location

Street Address 6537 FAIRLANE DR
State NY
Zip Code 14025-9637

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467793554 Kathy Zeniuk Early Intervention Provider Agency 6540 Hillcrcoft Dr., Boston, NY 14025 2013-03-14
1437496320 Wendy Weber Occupational Therapy Assistant 6868bw West Tillen Rd, Boston, NY 14025 2013-01-11
1013086164 Charles Joseph Hornberger Sr. Optometrist 8425 Boston State Road, Boston, NY 14025 2006-11-06
1407377153 Marie Catherine Ellis Licensed Practical Nurse 140 Pine Street, Hamburg, NY 14025 2017-07-03
1528242062 Karen L. Leatherbarrow Speech-Language Pathologist 10495 Manchester Rd, 10495 Manchester Road, Boston, NY 14025-9505 2007-12-19
1740505643 Learning Ladder Therapeutic Assoc. Inc. Early Intervention Provider Agency 10495 Manchester Rd, Boston, NY 14025-9505 2010-04-02
1265442347 Bernard J Michaels Dentist 9290 Boston State Rd, Boston, NY 14025-9604 2006-08-09
1285134932 Amanda Maher Dentist 9290 Boston State Rd, Boston, NY 14025-9604 2018-02-20
1285989624 Eugene Khaylomsky Dentist 9290 Boston State Rd, Boston, NY 14025-9604 2012-07-23
1558561308 Phanith Leang Lim Dentist 9290 Boston State Rd, Boston, NY 14025-9604 2007-07-20
Find all providers in zip 14025


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Zip Code 14025

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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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