Kelly M Cavanaugh, LMT, CMLDT is a
Massage Therapist based in Dyer, Indiana. Kelly M Cavanaugh is licensed to practice in Indiana (license number MT21505529) and her current practice location is
425 Joliet St Ste 212, Dyer, Indiana. She can be reached at her office (for appointments etc.) via phone at
(219) 381-9772.
NPI number for Kelly M Cavanaugh is 1073007548 and her current mailing address is 618 214th St, Dyer, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073007548.
Healthcare Provider's Profile
Full Name | Kelly M Cavanaugh |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 425 Joliet St Ste 212, Dyer, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073007548
- Provider Enumeration Date: 06/19/2018
- Last Update Date: 06/19/2018
Medical Identifiers
Medical identifiers for Kelly M Cavanaugh such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073007548 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | MT21505529 (Indiana) | 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 M Cavanaugh 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 M Cavanaugh, LMT, CMLDT 618 214th St, Dyer, IN 46311-1508 Ph: (219) 381-9772 | Kelly M Cavanaugh, LMT, CMLDT 425 Joliet St Ste 212, Dyer, IN 46311-1766 Ph: (219) 381-9772 |
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