Kelly Gray, is a
Massage Therapist based in Dane, Wisconsin. Kelly Gray is licensed to practice in Wisconsin (license number 2213-146) and her current practice location is
7792 Patton Rd, Dane, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(608) 846-0964.
NPI number for Kelly Gray is 1114328242 and her current mailing address is 7792 Patton Rd, Dane, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114328242.
Healthcare Provider's Profile
Full Name | Kelly Gray |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 7792 Patton Rd, Dane, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114328242
- Provider Enumeration Date: 09/08/2014
- Last Update Date: 09/08/2014
Medical Identifiers
Medical identifiers for Kelly Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114328242 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 2213-146 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Gray is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kelly Gray, 7792 Patton Rd, Dane, WI 53529-9715 Ph: (608) 846-0964 | Kelly Gray, 7792 Patton Rd, Dane, WI 53529-9715 Ph: (608) 846-0964 |
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