KENNETH JOHN READER LMT NPI 1063697787

NPI Information

NPI: 1063697787
Provider Name: KENNETH JOHN READER, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
6440 E BROADWAY BLVD
TUCSON, AZ
ZIP 85710
Phone: (520) 881-0877
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Kenneth John Reader, LMT is a massage therapist in Tucson, AZ. The provider is 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. Kenneth John Reader, LMT NPI is 1063697787. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6440 E BROADWAY BLVD
TUCSON, AZ
ZIP 85710-504
Phone: (520) 881-0877

The enumeration date for this NPI number is 12/31/2007 and was last updated on 2/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		10773	OREGON	No
2	225700000X	Massage Therapist		22514	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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