Individual provider Active NPI

Cheyann Marie Kanavel, LMT

  • Massage Therapist
  • Green Valley, AZ
National Provider Identifier
1104709609
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT-14093 Issued in AZ
Practice address
210 W Continental Rd Ste 130a
Green Valley, AZ 85622-3546
Phone
(520) 906-8358
NPI assigned
Jul 30, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MT-14093 AZ Primary

Addresses

Primary practice location

210 W Continental Rd Ste 130a
Green Valley, AZ 85622-3546

Mailing address

210 W Continental Rd Ste 130a
Green Valley, AZ 85622-3546
Phone (520) 906-8358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MT-14093AZMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Continental Spa LLC Single Specialty CurrentSince Aug 3, 2025 Accepting new patients

Locations

210 W Continental Rd
Ste 130A
Green Valley, AZ 85622
Phone (520) 906-8358

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1104709609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W CONTINENTAL RD STE 130A",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856223546",
            "telephone_number": "520-906-8358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W CONTINENTAL RD STE 130A",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856223546",
            "telephone_number": "520-906-8358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANAVEL",
        "first_name": "CHEYANN",
        "middle_name": "MARIE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT-14093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.