NPI 1154917888

Kahabi Mpemba Derefa

Practitioner Massage Therapist Wichita, KS

Practice location

Address: 2118 N Tyler Rd STE 100 Bldg B, Wichita, KS 67212-4912
Phone: (469) 587-9541
Mailing address: 7272 E 37th St N APT 715, Wichita, KS 67226-3215

Registered specialties

Massage Therapist Primary

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

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Registry record

NPI: 1154917888
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Dec 2020
Record last updated: 16 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.