Individual provider · Type 1 NPI
Kevin Andrew Fuller, LMT
Massage Therapist · Bakersfield, CA
NPI number
1346994647
Active
Practice location
1900 Glendon Ct
Bakersfield, CA 93309-3630
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 75728 (CA) |
| Massage Therapist | 225700000X | 16989 (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 1346994647
Kevin Andrew Fuller, LMT's National Provider Identifier is 1346994647, issued on Feb 7, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bakersfield, CA. The record was last updated on Jul 7, 2026.