Individual provider · Type 1 NPI

Kenya Mickey, LMT

Massage Therapist · Grants Pass, OR

NPI number 1740149616 Active

Practice location

1825 Nebraska Ave
Grants Pass, OR 97527-5701

Call (541) 425-6254 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X28435 (OR)

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 1740149616

Kenya Mickey, LMT's National Provider Identifier is 1740149616, issued on Jan 16, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Grants Pass, OR. The record was last updated on Jan 16, 2026.