David Ray Kellogg II, MASSAGE THERAPIST

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

33.010593 Issued in OH

Practice address

138 2ND St NE
New Philadelphia, OH 44663-2854

Phone

(330) 204-4388

NPI assigned

Mar 31, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1043848492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3634 STATE ROUTE 516 NW",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446227253",
            "telephone_number": "330-204-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 2ND ST NE",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446632854",
            "telephone_number": "330-204-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLOGG",
        "first_name": "DAVID",
        "middle_name": "RAY",
        "name_suffix": "II",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-31",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33.010593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Lynn Kaser
• Scott Alan Kaser, ATC
• Jocelynn Lorraine Kataro, LSW
• Tiffany Grace Keating, OD
• Stephanie Keen
• Thomas Joseph Kelly II, D.O.
• Julie H Kendrick
• Samantha Kerns
• Susan Kerr
• Brienne Kilpatrick, DPT

• Massage Therapist in New Philadelphia, OH
• Providers in New Philadelphia, OH by specialty
• Massage Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; 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.