Kneaded Medical Massage LLC

NPI #1972039717 in Beckley, West Virginia

Provider Information

NPI Number: 1972039717
Entity Type: Organization
Organization Name: Kneaded Medical Massage LLC
Primary Specialty: Massage Therapist
Enumeration Date: May 11, 2017
Last Updated: May 11, 2017

Practice Location

Address: 167 DRY HILL RD
City: Beckley
State: West Virginia
ZIP Code: 25801-2603
Phone: (304) 256-1111

Authorized Official

Name: JESSICA ASHLEY COBURN, LMT
Title: CO-OWNER
Phone: (304) 952-1692

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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