NPI 1336868520 · live from the CMS NPI Registry
Kieyan Antonio Anthony, LMBT
Massage Therapist in Greensboro, NC. National Provider Identifier 1336868520, active.
NPI record
| NPI | 1336868520 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 2105 W Cornwallis Dr, Greensboro, NC 27408 |
| Practice phone | 336-235-4530 |
| Enumerated | August 23, 2022 |
| Last updated | August 23, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 20501 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.