Individual provider · Type 1 NPI
Nathan Gordon Kenison, LMT
Massage Therapist · Beverly, MA
NPI number
1447591896
Active
Practice location
252 Elliott St
Beverly, MA 01915-2419
Mailing address
21 Herrick St Apt 1
Beverly, MA 01915-3125
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 8979 (MA) |
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 1447591896
Nathan Gordon Kenison, LMT's National Provider Identifier is 1447591896, issued on Mar 11, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Beverly, MA. The record was last updated on Mar 11, 2013.