Kelly Barger-Hodges, LMT

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

2001012190 Issued in MO

Practice address

312 W Washington
Kirksville, MO 63501

Phone

(660) 627-3366

Fax

(660) 627-3367

NPI assigned

May 1, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629298625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 W. WASHINGTON",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "63501",
            "telephone_number": "660-627-3366",
            "fax_number": "660-627-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 W WASHINGTON",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "63501",
            "telephone_number": "660-627-3366",
            "fax_number": "660-627-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARGER-HODGES",
        "first_name": "KELLY",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "MO",
            "license": "2001012190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanna N Baker, MSW, LCSW
• John Bambrick, LMSW
• Alan Richard Barber, DDS
• Arnold S Barber, D.O.
• Anita Barcus, PMHNP
• Thomas Barhorst, LPC
• Tyler Craig Barrick
• Rebecca Lyn Batten, LCSW
• Joseph D Bean
• Jonathan Mark Beary, D.O.

• Mechanotherapist in Kirksville, MO
• Providers in Kirksville, MO by specialty
• Mechanotherapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.