Von Arna Keller Jr., LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA28901 Issued in FL

Practice address

12605 Emerald Coast Pkwy W
Ste 2
Miramar Beach, FL 32550-3804

Phone

(850) 269-0820

Fax

(850) 269-2620

NPI assigned

Oct 26, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1319587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1932485695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12605 EMERALD COAST PKWY W",
            "address_2": "STE 2",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325503804",
            "telephone_number": "850-269-0820",
            "fax_number": "850-269-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12605 EMERALD COAST PKWY W",
            "address_2": "STE 2",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325503804",
            "telephone_number": "850-269-0820",
            "fax_number": "850-269-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "VON",
        "middle_name": "ARNA",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-26",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA28901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "C1394",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jose R Jimenez, MD
• Shi'Neice Eriana Johnson, RBT
• Ronald Belle Johnston Jr., M.D.
• Lynde Jones
• Katherine Keane, MD
• Ellen K Kemp
• Kingstondev LLC
• Cynthia L Klein, RPH
• Rebecca Sue Klein, BCBA
• Christian Krueger, APRN

• Massage Therapist in Miramar Beach, FL
• Providers in Miramar Beach, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.