Individual provider · Type 1 NPI

Kevin Gregory Gardner, MT

Massage Therapist · Alexandria, VA

NPI number 1265066229 Active

Practice location

4701 Kenmore Ave, Suite 121
Alexandria, VA 22304-2230

Call (703) 861-0890 Map

Other practice locations

  • 4701 Kenmore Ave Apt 121, Alexandria, VA 22304-1203 · (703) 861-0890

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X0019012178 (VA)

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 1265066229

Kevin Gregory Gardner, MT's National Provider Identifier is 1265066229, issued on Feb 28, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Alexandria, VA. The record was last updated on Feb 28, 2020.