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KDA & ASSOCIATES INC. NPI 1336419324


NPI Information

NPI: 1336419324
Provider Name: KDA & ASSOCIATES, INC.

Doing Business As: THE HEAVENLY SPA

Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
817 COFFEE RD
SUITE D
MODESTO, CA
ZIP 95355
Phone: (209) 527-6100
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KDA & ASSOCIATES, INC. is a massage therapist in Modesto, CA. 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. KDA & ASSOCIATES, INC. NPI is 1336419324. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As The Heavenly Spa.

The provider's business location address is:

817 COFFEE RD
SUITE D
MODESTO, CA
ZIP 95355-241
Phone: (209) 527-6100
Fax: (209) 527-6107

The provider's authorized official is Kristi Lynn Anthony .
The authorized official title is Cfo and has the following contact phone number (209) 527-6100.

The enumeration date for this NPI number is 1/6/2012 and was last updated on 1/6/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225700000XMassage Therapist11164CALIFORNIAYes

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

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