Individual provider · Type 1 NPI
Waymona Rene' Kennedy, LMT, MTI
Massage Therapist · Irving, TX
NPI number
1407693518
Active
Practice location
702 Bel Aire Crst
Irving, TX 75061-7588
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT109783 (TX) |
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 1407693518
Waymona Rene' Kennedy, LMT, MTI's National Provider Identifier is 1407693518, issued on Jul 15, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Irving, TX. The record was last updated on Jul 15, 2024.