NPI 1356956106 · live from the CMS NPI Registry
Kira Lee Carroll
Massage Therapist in Washington, DC. National Provider Identifier 1356956106, active.
NPI record
| NPI | 1356956106 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 1314 14th St Nw, Washington, DC 20005 |
| Practice phone | 202-506-6868 |
| Mailing address | 9304 Player Dr, Laurel, MD 20708 |
| Enumerated | September 9, 2020 |
| Last updated | September 9, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | R02763 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.