Kelly Gray, LMT is a
Massage Therapist based in Hampton, Illinois. Kelly Gray is licensed to practice in Illinois (license number 227.011622) and her current practice location is
510 State Ave Ste 3, Hampton, Illinois. She can be reached at her office (for appointments etc.) via phone at
(309) 751-9790.
NPI number for Kelly Gray is 1891043675 and her current mailing address is 29 Shady Bch, Geneseo, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891043675.
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 | 510 State Ave Ste 3, Hampton, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1891043675
- Provider Enumeration Date: 08/27/2012
- Last Update Date: 08/27/2012
Medical Identifiers
Medical identifiers for Kelly Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891043675 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 227.011622 (Illinois) | 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, LMT 29 Shady Bch, Geneseo, IL 61254-9106 Ph: (309) 737-5029 | Kelly Gray, LMT 510 State Ave Ste 3, Hampton, IL 61256-9690 Ph: (309) 751-9790 |
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