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KELLY MATHIS
NPI 1104436211
Massage Therapist in Rock Springs, WY

Active since August 04, 2020
617 BROADWAY ST STE C, ROCK SPRINGS, WY 82901(307) 382-8661 Get Directions Write a Review

NPPES record last updated: August 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Mathis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY MATHIS (NPI 1104436211) is an individual massage therapist in Rock Springs, Wyoming and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1104436211
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameKELLY MATHIS
Location Address617 BROADWAY ST STE CRock Springs, WY 82901-6380
Mailing Address3448 Dover AveRock Springs, WY 82901-5776 · (307) 389-8953
Phone(307) 382-8661
Sole ProprietorNo
Enumeration DateAugust 4, 2020
NPPES CertifiedAugust 4, 2020
✔ NPI 1104436211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
617 BROADWAY ST STE C, Rock Springs, WY 82901
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA DONAGHE A.A.S.
Massage Therapist
617 BROADWAY ST STE C
ROCK SPRINGS, WY 82901
Sweetwater County (307) 382-8661
AMY KATHLEEN MERRILL PT, DPT
Physical Therapist
617 BROADWAY ST STE C
ROCK SPRINGS, WY 82901
Sweetwater County (307) 382-8661
CASSANDRA HARRIS LMT
Massage Therapist
617 BROADWAY ST STE C
ROCK SPRINGS, WY 82901
Sweetwater County (307) 382-8661

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Mathis's NPI number?

The NPI number for Kelly Mathis is 1104436211. It was assigned to this individual provider in the NPPES registry on August 4, 2020.

Where is Kelly Mathis located?

Kelly Mathis practices at 617 Broadway St Ste C, Rock Springs, WY 82901. The listed phone number is (307) 382-8661.

What is Kelly Mathis's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Kelly Mathis was last updated on August 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.