KYLIE ELLISON LMT
NPI 1922415207
Massage Therapist in Tyler, TX

Active since July 17, 2014
2140 W GRANDE BLVD, SUITE A, TYLER, TX 75703(903) 521-1358 Get Directions Write a Review

NPPES record last updated: July 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kylie Ellison Lmt NPPES

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

KYLIE ELLISON LMT (NPI 1922415207) is an individual massage therapist in Tyler, Texas, licensed in Texas (MT110273) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1922415207
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameKYLIE ELLISONCredential: LMT
Location Address2140 W GRANDE BLVD, SUITE ATyler, TX 75703-0563
Mailing Address5353 Keller Springs Rd, 1522Dallas, TX 75248-2778 · (903) 521-1358
Sole ProprietorYes
Enumeration DateJuly 17, 2014
NPI 1922415207 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
License Licensed in TX · MT110273
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.
2140 W GRANDE BLVD, Tyler, TX 75703

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 Kylie Ellison's NPI number?

The NPI number for Kylie Ellison is 1922415207. It was assigned to this individual provider in the NPPES registry on July 17, 2014.

Where is Kylie Ellison located?

Kylie Ellison practices at 2140 W Grande Blvd Suite A, Tyler, TX 75703. The listed phone number is (903) 521-1358.

What is Kylie Ellison'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 Kylie Ellison was last updated on July 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.