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KENNEDY CORREA
NPI 1548020977
Massage Therapist in Fargo, ND

Active since March 21, 2024
4510 13TH AVE S, FARGO, ND 58103(701) 277-2579 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kennedy Correa NPPES

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

KENNEDY CORREA (NPI 1548020977) is an individual massage therapist in Fargo, North Dakota, licensed in Tennessee (434963699396) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1548020977
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameKENNEDY CORREA
Location Address4510 13TH AVE SFargo, ND 58103-5562
Mailing Address4510 13th Ave SFargo, ND 58103-5562
Phone(701) 277-2579
Sole ProprietorNo
Enumeration DateMarch 21, 2024
NPPES CertifiedMarch 21, 2024
✔ NPI 1548020977 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 TN · 434963699396
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.
4510 13TH AVE S, Fargo, ND 58103
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BETTER THIS WAT PSYCHOLOGICAL SERVICES
Clinic/Center (Mental Health (Including Community Mental Health Center))
4510 13TH AVE S
FARGO, ND 58103
Cass County (701) 277-2579
DENISE A SHEPPARD
Health Educator
4510 13TH AVE S
FARGO, ND 58103
Cass County (701) 433-3038

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 Kennedy Correa's NPI number?

The NPI number for Kennedy Correa is 1548020977. It was assigned to this individual provider in the NPPES registry on March 21, 2024.

Where is Kennedy Correa located?

Kennedy Correa practices at 4510 13th Ave S, Fargo, ND 58103. The listed phone number is (701) 277-2579.

What is Kennedy Correa'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 Kennedy Correa was last updated on March 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.