Kaleah McCoy
Individual provider Active NPI Massage Therapist · Fort White, FL
NPI 1184516585 · NPPES record last updated Jul 18, 2025
Key facts
- NPI
- 1184516585
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 104989 (FL)
- Practice address
- 264 SW Old Niblack Ave
Fort White, FL 32038-3278 - Phone
- (352) 389-9367
- NPI assigned
- Jul 18, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104989 | FL | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 104989 | FL | Yes |
Addresses
Primary practice location
264 SW Old Niblack Ave
Fort White, FL 32038-3278
Mailing address
264 SW Old Niblack Ave
Fort White, FL 32038-3278
Other providers in Fort White, FL
- Jose Luis Lopez
- Carly Malin
- Maria'S Support Coordination LLC
- Dianne Marroletti
- Kathleen Marshall
- Maylenis Melian
- North Florida Pharmacy of Fort White Inc
- Physio-RX
- Sherrell Queen
- Caitlyn Richter
All providers in Fort White, FL · Massage Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.