Ms Lisa J Kellim, LMT is a
Massage Therapist based in Kamiah, Idaho. Ms Lisa J Kellim is licensed to practice in Arizona (license number MT-05752) and her current practice location is
1102 3rd St, Kamiah, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 935-7702.
NPI number for Ms Lisa J Kellim is 1225335144 and her current mailing address is Po Box 1508, Kamiah, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225335144.
Healthcare Provider's Profile
| Full Name | Ms Lisa J Kellim |
|---|
| Gender | Female |
|---|
| Speciality | Massage Therapist |
|---|
| Location | 1102 3rd St, Kamiah, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1225335144
- Provider Enumeration Date: 02/14/2011
- Last Update Date: 02/14/2011
Medical Identifiers
Medical identifiers for Ms Lisa J Kellim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225335144 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | MT-05752 (Arizona) | 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. Ms Lisa J Kellim 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 |
|---|
Ms Lisa J Kellim, LMT
Po Box 1508,
Kamiah, ID 83536-8500
Ph: (208) 935-7702 | Ms Lisa J Kellim, LMT
1102 3rd St,
Kamiah, ID 83536-5333
Ph: (208) 935-7702 |
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