Individual
KAYLER KERSHELLE BLAKENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
309 E PARK RD, INDIAN TRAIL, NC 28079-7853
(704) 352-6989
Mailing address
309 E PARK RD APT 102, INDIAN TRAIL, NC 28079-7854
(704) 352-6989
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21582
NC
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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