Individual provider Active NPI

Valerie Elaine Kelso

  • Massage Therapist
  • North Richland Hills, TX
National Provider Identifier
1174926000
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT117848 Issued in TX
Practice address
5757 Rufe Snow Dr Ste B
North Richland Hills, TX 76180-6080
Phone
(817) 350-0444
NPI assigned
Oct 6, 2014
Last updated
Mar 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT117848 TX Primary

Addresses

Primary practice location

5757 Rufe Snow Dr Ste B
North Richland Hills, TX 76180-6080

Mailing address

5757 Rufe Snow Dr Ste B
North Richland Hills, TX 76180-6080
Phone (817) 350-9457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MT117848TXMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Purple Light Touch Massage and Wellness LLC Current Accepting new patients
Javinte Massage Past Accepting new patients

Locations

5757 Rufe Snow Dr
Ste B
North Richland Hills, TX 76180
Phone (817) 350-9457

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1174926000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 RUFE SNOW DR STE B",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761806080",
            "telephone_number": "817-350-9457",
            "fax_number": "682-334-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 RUFE SNOW DR STE B",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761806080",
            "telephone_number": "817-350-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSO",
        "first_name": "VALERIE",
        "middle_name": "ELAINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-06",
        "last_updated": "2021-03-12",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT117848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Richland Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.