NPI 1487498127

Kevin D Ensenat, LMT

Practitioner Massage Therapist Montclair, NJ

Practice location

Address: 94 Valley Rd, Montclair, NJ 07042-2211
Phone: (201) 788-2666
Mailing address: 257 E 7th St, Clifton, NJ 07011-1712

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 18KT01439200 (NJ)

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Registry record

NPI: 1487498127
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jun 2024
Record last updated: 19 Jun 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.