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KENDRAH DAWANNA WILSON
NPI 1902623259
Massage Therapist in Saint Marys, GA

Active since September 26, 2024
1709 OSBORNE RD APT SUITE, SAINT MARYS, GA 31558(912) 540-0323 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kendrah Dawanna Wilson NPPES

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

KENDRAH DAWANNA WILSON (NPI 1902623259) is an individual massage therapist in Saint Marys, Georgia, licensed in Georgia (MT015102) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1902623259
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameKENDRAH DAWANNA WILSON
Location Address1709 OSBORNE RD APT SUITESaint Marys, GA 31558-9141
Mailing Address704 Wheeler St Apt SuiteSaint Marys, GA 31558-8315 · (912) 540-0323
Phone(912) 540-0323
Sole ProprietorYes
Enumeration DateSeptember 26, 2024
NPPES CertifiedSeptember 26, 2024
✔ NPI 1902623259 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
Licenses✔ Licensed in GA · MT015102✔ Licensed in FL · MA105415
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.
1709 OSBORNE RD APT SUITE, Saint Marys, GA 31558
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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 Kendrah Wilson's NPI number?

The NPI number for Kendrah Wilson is 1902623259. It was assigned to this individual provider in the NPPES registry on September 26, 2024.

Where is Kendrah Wilson located?

Kendrah Wilson practices at 1709 Osborne Rd Apt Suite, Saint Marys, GA 31558. The listed phone number is (912) 540-0323.

What is Kendrah Wilson'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 Kendrah Wilson was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.