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

TaxonomyCodeLicense
Massage Therapist Primary 225700000X8979 (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.