KELISHA MONIQUE DENNIS NPI 1508689852

NPI Information

  • NPI: 1508689852
  • Provider Name: KELISHA MONIQUE DENNIS
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 2715 W LA SALLE ST
    PHOENIX, AZ
    ZIP 85041
  • Phone: (510) 696-0000

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NPI Details

Kelisha Monique Dennis is a massage therapist in Phoenix, 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. Kelisha Monique Dennis NPI is 1508689852. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2715 W LA SALLE ST
PHOENIX, AZ
ZIP 85041-458
Phone: (510) 696-0000

The enumeration date for this NPI number is 11/5/2024 and was last updated on 11/5/2024.

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 TherapistMT-29860ARIZONAYes

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

NPI Synchronization or Removal

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