NPI 1003649013

Khin Maythu Gardner

Practitioner Massage Therapist Vienna, VA

Practice location

Address: 1980 Gallows Rd, Vienna, VA 22182-3913
Phone: (703) 323-5691
Fax: (703) 323-5692
Mailing address: 1735 Alaska CT, Woodbridge, VA 22191-3641

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 0019019772 (VA)

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Registry record

NPI: 1003649013
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Aug 2024
Record last updated: 11 Jan 2026

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.