Kelly Mayo, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT11035 Issued in SD

Practice address

128 E Holly Blvd
Brandon, SD 57005-1114

Phone

(605) 582-8800

Fax

(605) 582-8820

NPI assigned

Feb 4, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chirosport PC

  • Chiropractor
  • Brandon, SD
  • NPI 1861511479
  NPD
• Chirosport Brandon, PC

  • Clinic/Center
  • Brandon, SD
  • NPI 1942048558
  NPD (past)
• Chirosport Hartford, PC

  • Chiropractor
  • Hartford, SD
  • NPI 1033626114
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1033701776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6705 S CLIFF AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571088585",
            "telephone_number": "605-334-6656",
            "fax_number": "605-271-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 E HOLLY BLVD",
            "city": "BRANDON",
            "state": "SD",
            "postal_code": "570051114",
            "telephone_number": "605-582-8800",
            "fax_number": "605-582-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYO",
        "first_name": "KELLY",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "SD",
            "license": "MT11035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.sportschiros.com",
            "affiliation": "N",
            "endpointDescription": "www.sportschiros.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "128 E. Holly Blvd. Brandon, SD 57005",
            "address_1": "128 E Holly Blvd",
            "city": "Brandon",
            "state": "SD",
            "country_code": "US",
            "postal_code": "570051114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lindsey Krueger, SW
• Jessica Landry, DPT
• Tesza Jo Larios, DOULA
• Luke Laycock, PT
• Karlie Renae Maki, ED.S., NCSP
• Michelle McElroy, M.D.
• McCamey McKinley, DDS
• Med Star Paramedic Inc
• Med-Star Transit LLC
• Katie Melius, PHARMD

• Massage Therapist in Brandon, SD
• Providers in Brandon, SD by specialty
• Massage Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.