Individual provider · Type 1 NPI
Kimberly Shantale Kenny
Massage Therapist · Jacksonville, NC
NPI number
1093562837
Active
Practice location
802 Davis St
Jacksonville, NC 28540-4927
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist | 225700000X | None listed |
| Massage Therapist Primary | 225700000X | 11806 (NC) |
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 1093562837
Kimberly Shantale Kenny's National Provider Identifier is 1093562837, issued on Apr 30, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Jacksonville, NC. The record was last updated on Apr 30, 2024.