Elnora Neely, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7501005828 Issued in MI

Practice address

1119 Burton St SE Ste 100
Grand Rapids, MI 49507-3367

Phone

(616) 848-9679

NPI assigned

Apr 6, 2022

Sex

Female

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": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1356082879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 GENEVA AVE SE UNIT 2",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495071329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 BURTON ST SE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495073367",
            "telephone_number": "616-848-9679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEELY",
        "first_name": "ELNORA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501005828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Akunne Ndika, M.D.
• Khan Javan Nedd, M.D.
• Chloe Suzanne Nederveld
• Sara Elizabeth Neeb, CPRSS
• Katie Marie Needler, NP
• Neema Home Care
• Araya Kifle Negash, D.O.
• Lindsay Smith Negash, D.O.
• Kristina M Negawnawquet
• Russell T Neher, PTA

• Massage Therapist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Massage Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.