KENYATIA MCLISH LMT
NPI 1821738808
Massage Therapist in Old Saybrook, CT

Active since March 29, 2022
49 SHERWOOD TER, OLD SAYBROOK, CT 06475(248) 217-1646 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • 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
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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.

Psychologist (Counseling)
49 SHERWOOD TER
OLD SAYBROOK, CT 06475
Marriage & Family Therapist
49 SHERWOOD TER, 239 WILLARD AVE WESTBROOK CT
OLD SAYBROOK, CT 06475
Psychologist (Clinical)
49 SHERWOOD TER, BASEMENT LEVEL
OLD SAYBROOK, CT 06475
In Home Supportive Care
49 SHERWOOD TER
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.