KYLENE MARIE ROSE
NPI 1902692510
Massage Therapist in Jacksonville, NC

Active since April 18, 2025
1368 PINEY GREEN RD STE 4, JACKSONVILLE, NC 28546(910) 340-0854 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kylene Marie Rose NPPES

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

KYLENE MARIE ROSE (NPI 1902692510) is an individual massage therapist in Jacksonville, North Carolina, licensed in North Carolina (6854) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1902692510
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameKYLENE MARIE ROSE
Location Address1368 PINEY GREEN RD STE 4Jacksonville, NC 28546-4577
Mailing Address450 Sullivan Loop RdMidway Park, NC 28544-0005 · (910) 340-0854
Sole ProprietorNo
Enumeration DateApril 18, 2025
NPPES CertifiedApril 18, 2025
NPI 1902692510 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 NC · 6854
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.

1368 PINEY GREEN RD STE 4, Jacksonville, NC 28546

Other Providers at the Same Location NPPES 3

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

Massage Therapist
1368 PINEY GREEN RD STE 4
JACKSONVILLE, NC 28546
Massage Therapist
1368 PINEY GREEN RD STE 4
JACKSONVILLE, NC 28546
Massage Therapist
1368 PINEY GREEN RD STE 4
JACKSONVILLE, NC 28546

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902692510, enumerated as an "individual" on April 18, 2025.

The provider is located at 1368 PINEY GREEN RD STE 4 JACKSONVILLE, NC 28546 and the phone number is (910) 340-0854.

Massage Therapist with taxonomy code 225700000X.