Individual provider · Type 1 NPI

Kathleen Mary Fanning

Massage Therapist · Riverview, FL

NPI number 1083425284 Active

Practice location

7803 Riverwood Oaks Dr
Riverview, FL 33578-8633

Call (630) 244-4127 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA101214 (FL)

Massage Therapist: 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.

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About NPI 1083425284

Kathleen Mary Fanning's National Provider Identifier is 1083425284, issued on Jan 16, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Riverview, FL. The record was last updated on Jan 16, 2025.