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General NPI Number Information
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NPI Number | 1558202010
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Entity Type | Organization
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Legal Business Name | KM MASSAGE AND BODYWORK LLC
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Dates
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Enumeration Date | 04/01/2026
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Last Update Date | 04/01/2026
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Provider Practice Location Address
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Address Line | 2545 ZANELLA WAY STE D
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City | CHICO
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State | CA
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Zip | 95928-7100
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Country | US
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Telephone | 530-710-6399
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Fax |
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Provider Business Mailing Address
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Address Line | 946 ESPLANADE
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City | CHICO
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State | CA
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Zip | 95926-3909
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Country | US
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Telephone | 530-710-6399
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Fax |
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Authorized Official
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Title or Position | CEO/LEAD PRACTITIONER
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Name | KATYA MARIE MILLER
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Credential |
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Telephone | 530-710-6399
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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