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MEDICAL MASSAGE
NPI 1972039717
Massage Therapist in Beckley, WV

Active since May 11, 2017
167 DRY HILL RD, BECKLEY, WV 25801(304) 256-1111(304) 256-1113 Get Directions Write a Review

NPPES record last updated: May 11, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Medical Massage NPPES

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

MEDICAL MASSAGE (NPI 1972039717) is a healthcare organization registered as a massage therapist in Beckley, West Virginia and active in the NPI registry since May 2017. The organization lists Jessica Ashley Coburn, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1972039717
Entity TypeOrganization
Primary Taxonomy225700000X
Legal Business NameKNEADED MEDICAL MASSAGE LLC
Location Address167 DRY HILL RDBeckley, WV 25801-2603
Mailing AddressPo Box 586Beckley, WV 25802-0586 · (304) 256-1111 · Fax (304) 256-1113
Phone(304) 256-1111
Fax(304) 256-1113
Organization SubpartNo
Authorized OfficialJessica Ashley CoburnCo-owner · (304) 952-1692
Enumeration DateMay 11, 2017
✔ NPI 1972039717 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 WV · 2014-3267
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.
167 DRY HILL RD, Beckley, WV 25801
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Other Names 1

Doing Business AsMedical Massage

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

KIMBERLY REXROAD LMT
Massage Therapist
167 DRY HILL RD
BECKLEY, WV 25801
Raleigh County (304) 256-1111
JESSICA COBURN
Massage Therapist
167 DRY HILL RD
BECKLEY, WV 25801
Raleigh County (304) 256-1111

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 Kneaded Medical Massage LLC's NPI number?

The NPI number for Kneaded Medical Massage LLC is 1972039717. It was assigned to this organization in the NPPES registry on May 11, 2017. The provider is doing business as Medical Massage.

Where is Kneaded Medical Massage LLC located?

Kneaded Medical Massage LLC is located at 167 Dry Hill Rd, Beckley, WV 25801. The listed phone number is (304) 256-1111.

What is Kneaded Medical Massage LLC'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 Kneaded Medical Massage LLC was last updated on May 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.