MEDICARE: MRS. TAMMY RENA KELLEY LMT

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	MA23357	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	C2023	OTHER	FL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1982817649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TAMMY RENA KELLEY LMT

Provider Business Mailing Address
First Line	:	4320 W EL PRADO BLVD
Second Line	:	SUITE 25
City	:	TAMPA
State	:	FL
Zip	:	33629-8498
Country	:	US
Telephone Number	:	813-839-1808
Fax Number	:

Provider Business Practice Location Address
First Line	:	4320 W EL PRADO BLVD
Second Line	:	SUITE 25
City	:	TAMPA
State	:	FL
Zip	:	33629-8498
Country	:	US
Telephone Number	:	813-839-1808
Fax Number	:

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

Provider Enumeration Date	:	05/08/2007
Last Update Date	:	05/14/2014

Similar Medicare Providers

1649133851 — PATRICK FETHIERE
Practice Location Address:

4320 W EL PRADO BLVD
TAMPA, FL
33629-8498

Practice Phone: 813-461-5380
Practice Fax:

1295730059 — LAURA Y PULIDO APRN
Practice Location Address:

3005 W EUCLID AVE
TAMPA, FL
33629-8954

Practice Phone: 813-508-1859
Practice Fax:

1629933015 — CHRISTA Z BAXTER
Practice Location Address:

3821 W SAN PEDRO ST
TAMPA, FL
33629-7807

Practice Phone: 540-841-7201
Practice Fax:

1396489225 — TAMPA GENERAL MEDICAL GROUP INC
Practice Location Address:

1202 S CHURCH AVE STE A
TAMPA, FL
33629-5017

Practice Phone: 813-821-8095
Practice Fax: 813-821-8309

1164769063 — TAMPA GENERAL MEDICAL GROUP INC
Practice Location Address:

2106 S LOIS AVE , FL 2
TAMPA, FL
33629

Practice Phone: 813-844-4200
Practice Fax: 813-844-1919

1154692564 — MS. JO VEAZEY STANTON M.A., LMHC
Practice Location Address:

3825 HENDERSON BLVD , SUITE 304
TAMPA, FL
33629-5037

Practice Phone: 813-326-4145
Practice Fax:

Directions to “ MRS. TAMMY RENA KELLEY LMT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.