NPI 1003412792

Kiera Dawn Shepherd, LMT

Practitioner Massage Therapist San Pedro, CA

Practice location

Address: 503 W 26th St APT 6, San Pedro, CA 90731-6399
Phone: (562) 533-1073

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 16885 (CA)

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Registry record

NPI: 1003412792
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Dec 2020
Record last updated: 8 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.