KENYATIA MCLISH LMT
NPI 1821738808
Massage Therapist in Old Saybrook, CT
- Individual
- Female
- Massage Therapist
About KENYATIA MCLISH
This page provides the complete NPI Profile along with additional information for Kenyatia Mclish, a provider established in Old Saybrook, Connecticut with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1821738808 assigned on March 2022. The practitioner's primary taxonomy code is 225700000X with license number 010630 (CT). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1821738808 Verify this NPI
- Provider Name
- KENYATIA MCLISH LMT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 49 SHERWOOD TER OLD SAYBROOK, CT 06475
- Location Phone
- (248) 217-1646
- Mailing Address
- 7 N MAIN ST UNIT 1234 OLD SAYBROOK, CT 06475
- Mailing Phone
- (248) 217-1646
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-29-2022
- Last Update Date
- 03-29-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Massage Therapist
- Taxonomy Code
- 225700000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 010630
- License State
- CT
- Taxonomy Description
- 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.
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Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
OLD SAYBROOK, CT 06475
OLD SAYBROOK, CT 06475
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821738808, enumerated as an "individual" on March 29, 2022.
The provider is located at 49 SHERWOOD TER OLD SAYBROOK, CT 06475 and the phone number is (248) 217-1646.
Massage Therapist with taxonomy code 225700000X.