NPI 1043851579

Kendall Tiara Jones, LICENSEDMASSAGETHE

Practitioner Massage Therapist Milwaukee, WI

Practice location

Address: 301 E Reservoir Ave, Milwaukee, WI 53212-3743
Phone: (414) 573-4356
Mailing address: PO Box 511843, Milwaukee, WI 53203-0311

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 4427-146 (WI)

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Registry record

NPI: 1043851579
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Oct 2019
Record last updated: 7 Oct 2019

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.