MS. KENNETTE LESLIE OLDHAM MASSAGE THERAPIST - NPI 1285979369

Q: What is the provider's specialty?

The provider's specialty is Massage Therapist with taxonomy code 225700000X.

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About Ms. Kennette Leslie Oldham Massage Therapist NPPES

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

MS. KENNETTE LESLIE OLDHAM MASSAGE THERAPIST (NPI 1285979369) is an individual massage therapist in Pueblo, Colorado, licensed in Colorado (10508) and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1285979369

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameMS. KENNETTE LESLIE OLDHAMCredential: MASSAGE THERAPIST

Location Address126 W D ST STE 100CPueblo, CO 81003-4430

Mailing Address126 W D St Ste 100cPueblo, CO 81003-4430 · (719) 250-7675 · Fax (719) 545-2807

Phone(719) 250-7675

Fax(719) 545-2807

Sole ProprietorYes

Enumeration DateNovember 30, 2012

✔ NPI 1285979369 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 CO · 10508

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.

126 W D ST STE 100C, Pueblo, CO 81003

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