Keely Scott, LMP
Individual provider Active NPI Massage Therapist · Eastsound, WA
NPI 1699160358 · NPPES record last updated Nov 16, 2015
Key facts
- NPI
- 1699160358
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA 60475004 (WA)
- Practice address
- 453 N Beach Rd
Eastsound, WA 98245-8927 - Phone
- (360) 376-4002
- NPI assigned
- Mar 31, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA 60475004 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Islands Acupuncture, P.S | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA 60475004 | WA | Yes |
Addresses
Primary practice location
453 N Beach Rd
Eastsound, WA 98245-8927
Mailing address
PO Box 1962
Eastsound, WA 98245-1962
Other providers in Eastsound, WA
- Erin Quies
- Valentina Krasteva Rivera
- David Lee Russell
- San Juan County Fire No 2
- San Juans Vision Care P.S.
- David Clayton Shinstrom
- Shorewood Communications Inc
- Sasheem Silkiss-Hero
- Jennifer Lynn Simpson-Manske
- Beth Ann Smith
All providers in Eastsound, WA · Massage Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.