Individual provider · Type 1 NPI

Kevin Wayne Shelton, LMT

Massage Therapist · Fresno, CA

NPI number 1922601392 Active

Practice location

4073 N Fruit Ave Apt 117
Fresno, CA 93705-2136

Call (559) 720-9493 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X78975 (CA)

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 1922601392

Kevin Wayne Shelton, LMT's National Provider Identifier is 1922601392, issued on Nov 18, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fresno, CA. The record was last updated on Nov 18, 2020.