NPI 1023901063 · live from the CMS NPI Registry
Kerneshia Kiznae Davis
Massage Therapist in Ridgeland, MS. National Provider Identifier 1023901063, active.
NPI record
| NPI | 1023901063 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 731 S Pear Orchard Rd Ste 32, Ridgeland, MS 39157 |
| Practice phone | 601-524-8444 |
| Enumerated | May 29, 2025 |
| Last updated | May 29, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 3587 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.