Active NPI
Kelly J Richards, LMT
- Massage Therapist
- Holyoke, MA
National Provider Identifier
1477803856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 10591
- Practice address
- 850 High Street
Suite 2B
Holyoke, MA 01040-3739 - Phone
- (413) 536-0142
- Fax
- (413) 536-0607
- NPI assigned
- Sep 13, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 10591 | MA | Primary |
Addresses
Primary practice location
850 High Street
Suite 2B
Holyoke, MA 01040-3739
Mailing address
850 High Street
Suite 2B
Holyoke, MA 01040-3739
Phone (413) 536-0142
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10591 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347494400000",
"number": "1477803856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 HIGH STREET",
"address_2": "SUITE 2B",
"city": "HOLYOKE",
"state": "MA",
"postal_code": "010403739",
"telephone_number": "413-536-0142",
"fax_number": "413-536-0607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 HIGH STREET",
"address_2": "SUITE 2B",
"city": "HOLYOKE",
"state": "MA",
"postal_code": "010403739",
"telephone_number": "413-536-0142",
"fax_number": "413-536-0607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS",
"first_name": "KELLY",
"middle_name": "J",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-13",
"last_updated": "2012-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MA",
"license": "10591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holyoke, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.