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KOURTKNIE ALEXIS AMILLIDREEM LMT 3679
NPI 1013736628
Massage Therapist in Brandon, MS

Active since October 09, 2024
1222 OLD FANNIN RD STE D, BRANDON, MS 39047(601) 842-5559 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kourtknie Alexis Amillidreem Lmt 3679 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KOURTKNIE ALEXIS AMILLIDREEM LMT 3679 (NPI 1013736628) is an individual massage therapist in Brandon, Mississippi, licensed in Mississippi (LMT3679) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1013736628
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameKOURTKNIE ALEXIS AMILLIDREEMCredential: LMT 3679
Location Address1222 OLD FANNIN RD STE DBrandon, MS 39047-8795
Mailing Address1888 Main St Ste 477Madison, MS 39110-6337 · (601) 842-5559
Phone(601) 842-5559
Sole ProprietorYes
Enumeration DateOctober 9, 2024
Last NPPES UpdateOctober 10, 2024
NPPES CertifiedOctober 10, 2024
✔ NPI 1013736628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in MS · LMT3679
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
1222 OLD FANNIN RD STE D, Brandon, MS 39047
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kourtknie Amillidreem's NPI number?

The NPI number for Kourtknie Amillidreem is 1013736628. It was assigned to this individual provider in the NPPES registry on October 9, 2024.

Where is Kourtknie Amillidreem located?

Kourtknie Amillidreem practices at 1222 Old Fannin Rd Ste D, Brandon, MS 39047. The listed phone number is (601) 842-5559.

What is Kourtknie Amillidreem's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Kourtknie Amillidreem was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.