MR. KENDU GREEN LMT NPI 1619693876

NPI Information

  • NPI: 1619693876
  • Provider Name: MR. KENDU GREEN, LMT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 160 S 2ND ST APT 2F
    BROOKLYN, NY
    ZIP 11211
  • Phone: (347) 971-2464

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NPI Details

MR. Kendu Green, LMT is a massage therapist in Brooklyn, NY. 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. MR. Kendu Green, LMT NPI is 1619693876. 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:

160 S 2ND ST APT 2F
BROOKLYN, NY
ZIP 11211-267
Phone: (347) 971-2464

The enumeration date for this NPI number is 10/18/2022 and was last updated on 10/18/2022.

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 Therapist033067NEW YORKYes

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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