Healthcare Provider Details

I. General information

NPI: 1558201798
Provider Name (Legal Business Name): KANISHA V JOYNER LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 CEDAR LAKES DR STE 101
CHESAPEAKE VA
23322-8380
US

IV. Provider business mailing address

5601 CAMPUS DR
VIRGINIA BEACH VA
23462-7306
US

V. Phone/Fax

Practice location:
  • Phone: 757-546-0031
  • Fax: 757-482-9379
Mailing address:
  • Phone: 252-722-3960
  • Fax: 757-482-9379

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number0019018925
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: