Individual
KANALU OLAMANA AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICENSED MT
Contact information
Practice address
143 BRECKENRIDGE DR, OXFORD, MS 38655-7501
(662) 380-1320
Mailing address
143 BRECKENRIDGE DR, OXFORD, MS 38655-7501
(662) 380-1320
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4022
MS
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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