IndividualActive
Kennedy Correa
NPI 1548020977 · Massage Therapist · Fargo, ND
Provider details
- NPI number
- 1548020977
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 434963699396 (TN)
Mailing address
4510 13th Ave S
Fargo, ND 58103-5562
Registry dates
- Enumerated
- 2024-03-21
- Last updated
- 2024-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.