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KNEADED MEDICAL MASSAGE LLC NPI 1972039717


NPI Information

NPI: 1972039717
Provider Name: KNEADED MEDICAL MASSAGE LLC

Doing Business As: MEDICAL MASSAGE

Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
167 DRY HILL RD
BECKLEY, WV
ZIP 25801
Phone: (304) 256-1111
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KNEADED MEDICAL MASSAGE LLC is a massage therapist in Beckley, WV. The provider is 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. KNEADED MEDICAL MASSAGE LLC NPI is 1972039717. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Medical Massage.

The provider's business location address is:

167 DRY HILL RD
BECKLEY, WV
ZIP 25801-603
Phone: (304) 256-1111
Fax: (304) 256-1113

The provider's authorized official is Jessica Ashley Coburn .
The authorized official title is Co-owner and has the following contact phone number (304) 952-1692.

The enumeration date for this NPI number is 5/11/2017 and was last updated on 5/11/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage Therapist2014-3267WEST VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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