OrganizationActive
Kneaded Medical Massage LLC
NPI 1972039717 · Massage Therapist · Beckley, WV
Provider details
- NPI number
- 1972039717
- Entity type
- Organization
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Jessica Coburn, Co-Owner(304) 952-1692
- License
- 2014-3267 (WV)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
167 Dry Hill Rd
Beckley, WV 25801-2603
Phone: (304) 256-1111
Fax: (304) 256-1113
Street-level locationGet directions
Mailing address
Po Box 586
Beckley, WV 25802-0586
Other names (DBA / former)
- Doing business as
- Medical Massage
Registry dates
- Enumerated
- 2017-05-11
- Last updated
- 2017-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.