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NPI Code Detail

MEDICARE: KAIZEN DRY NEEDLING & WELLNESS LLC

MEDICARE: KAIZEN DRY NEEDLING & WELLNESS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1730061771
Entity Type Code : Organization
Provider Name (Legal Business Name) : KAIZEN DRY NEEDLING & WELLNESS LLC
Provider Business Mailing Address
First Line : 6465 COLLEGE PARK SQ STE 312
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23464-3609
Country : US
Telephone Number : 757-685-7649
Fax Number :
Provider Business Practice Location Address
First Line : 6465 COLLEGE PARK SQ STE 312
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23464-3609
Country : US
Telephone Number : 757-685-7649
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. KENDRA GARRETT
Credential : PT, DPT, WCS
Telephone Number : 757-572-0183
Provider Enumeration Date : 07/22/2025
Last Update Date : 07/22/2025

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Directions to “KAIZEN DRY NEEDLING & WELLNESS LLC ” Practice Location

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