KEVIN DALE HALL NPI 1417544016

NPI Information

  • NPI: 1417544016
  • Provider Name: KEVIN DALE HALL
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 83 GLEN AVE APT A
    OAKLAND, CA
    ZIP 94611
  • Phone: (510) 560-6376

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NPI Details

Kevin Dale Hall is a massage therapist in Oakland, 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. Kevin Dale Hall NPI is 1417544016. 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:

83 GLEN AVE APT A
OAKLAND, CA
ZIP 94611-944
Phone: (510) 560-6376

The enumeration date for this NPI number is 12/29/2020 and was last updated on 12/29/2020.

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
1225700000XMassage TherapistYes

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: 11/21/2025

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