IndividualActive
Kingsley Usianeneh
NPI 1013169663 · Dance Therapist · Fayetteville, GA
Provider details
- NPI number
- 1013169663
- Entity type
- Individual
- Primary specialty
- Dance TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2308 Cobblestone Blvd
Fayetteville, GA 30215-6843
Phone: (678) 516-8594
Approximate (ZIP-level) locationGet directions
Mailing address
2308 Cobblestone Blvd
Fayetteville, GA 30215-6843
Registry dates
- Enumerated
- 2008-10-15
- Last updated
- 2008-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.