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NPI Code Detail

MEDICARE: WHITNEY KENNEY CMT

MEDICARE: WHITNEY KENNEY CMT
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
1225700000XMassage Therapist25694CA

General Provider Information

NPI Number : 1447870589
Entity Type Code : Individual
Provider Name (Legal Business Name) : WHITNEY KENNEY CMT
Provider Business Mailing Address
First Line : 1539 CHESTNUT ST
Second Line :
City : REDDING
State : CA
Zip : 96001-1639
Country : US
Telephone Number : 530-604-4050
Fax Number :
Provider Business Practice Location Address
First Line : 1539 CHESTNUT ST
Second Line :
City : REDDING
State : CA
Zip : 96001-1639
Country : US
Telephone Number : 530-604-4050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2020
Last Update Date : 04/18/2020

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Directions to “ WHITNEY KENNEY CMT” Practice Location

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