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Kevin Wayne Shelton, LMT
Massage Therapist in Fresno, California
NPI 1922601392

Kevin Wayne Shelton is a Massage Therapist based in Fresno, CA. Kevin Wayne Shelton practices in Fresno, CA and has the professional credentials of LMT. The NPI Number for Kevin Wayne Shelton is 1922601392 and holds a License No. 78975 (California).

The current practice location address for Kevin Wayne Shelton is 4073 N Fruit Ave Apt 117, Fresno, CA and can be reached out via phone at 559-720-9493. You can also correspond with Kevin Wayne Shelton through the mailing address at 4073 N FRUIT AVE APT 117, FRESNO, CA - 93705-2136 (mailing address contact number: 559-720-9493).

Location: 4073 N Fruit Ave Apt 117, Fresno, CA, 93705-2136
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922601392
Provider Name
Kevin Wayne Shelton
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
4073 N Fruit Ave Apt 117, Fresno, CA, 93705-2136
Phone Number
559-720-9493
Fax Number
Provider Enumeration Date
11/18/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4073 N Fruit Ave Apt 117
City
Fresno
State
California
Zip
93705-2136
Phone Number
559-720-9493
Fax Number
person
Provider Business Mailing Address Details
Address
4073 N Fruit Ave Apt 117
City
Fresno
State
California
Zip
93705-2136
Phone Number
559-720-9493
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
78975 (California)
Definition
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.
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