MEDICARE: DENIRO KELLY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MT103203	TX

General Provider Information

NPI Number	:	1265385868
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENIRO KELLY

Provider Business Mailing Address
First Line	:	13801 NAPOLI DR APT 11309
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-2746
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13801 NAPOLI DR APT 11309
Second Line	:	11309
City	:	HOUSTON
State	:	TX
Zip	:	77070-2746
Country	:	US
Telephone Number	:	713-446-1232
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/16/2026
Last Update Date	:	02/16/2026

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Directions to “ DENIRO KELLY ” Practice Location

Language	Start Address	Practice Location

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