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KEVIN GREGORY GARDNER MT
NPI 1265066229
Massage Therapist in Alexandria, VA

Active since February 28, 2020
4701 KENMORE AVE, SUITE 121, ALEXANDRIA, VA 22304(703) 861-0890 Get Directions Write a Review

NPPES record last updated: February 28, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kevin Gregory Gardner Mt NPPES

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

KEVIN GREGORY GARDNER MT (NPI 1265066229) is an individual massage therapist in Alexandria, Virginia, licensed in Virginia (0019012178) and active in the NPI registry since February 2020. He maintains a secondary practice location in Alexandria.

NPPES Registry Identity

NPI1265066229
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameKEVIN GREGORY GARDNERCredential: MT
Location Address4701 KENMORE AVE, SUITE 121Alexandria, VA 22304-2230
Mailing Address4701 Kenmore Ave, Suite 121Alexandria, VA 22304-1203 · (703) 861-0890
Phone(703) 861-0890
Sole ProprietorYes
Enumeration DateFebruary 28, 2020
✔ NPI 1265066229 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 VA · 0019012178
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.

4701 KENMORE AVE, Alexandria, VA 22304
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Secondary Practice Location 1

Location 14701 Kenmore Ave Apt 121Alexandria, VA 22304-1203 · Phone (703) 861-0890

Other Identifiers 1

Medicaid4701VA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Kevin Gardner's NPI number?

The NPI number for Kevin Gardner is 1265066229. It was assigned to this individual provider in the NPPES registry on February 28, 2020.

Where is Kevin Gardner located?

Kevin Gardner practices at 4701 Kenmore Ave Suite 121, Alexandria, VA 22304. The listed phone number is (703) 861-0890.

What is Kevin Gardner'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 Kevin Gardner was last updated on February 28, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.