NPI 1093562837

Kimberly Shantale Kenny

Practitioner Massage Therapist Jacksonville, NC

Practice location

Address: 802 Davis St, Jacksonville, NC 28540-4927
Phone: (910) 581-7745

Registered specialties (2)

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 11806 (NC)

Other Massage Therapist providers in North Carolina →

Massage Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X

Registry record

NPI: 1093562837
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Apr 2024
Record last updated: 30 Apr 2024

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.