Individual provider · Type 1 NPI

Kennedy Correa

Massage Therapist · Fargo, ND

NPI number 1548020977 Active

Practice location

4510 13th Ave S
Fargo, ND 58103-5562

Call (701) 277-2579 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X434963699396 (TN)

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 1548020977

Kennedy Correa's National Provider Identifier is 1548020977, issued on Mar 21, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fargo, ND. The record was last updated on Mar 21, 2024.