Active NPI
Kayen Marley
- Massage Therapist
- Joplin, MO
National Provider Identifier
1356174577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 2024026345
- Practice address
- 705 Walnut Ridge St Apt 308
Joplin, MO 64801-6500 - Phone
- (775) 304-3823
- NPI assigned
- Aug 22, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 2024026345 | MO | Primary |
Addresses
Primary practice location
705 Walnut Ridge St Apt 308
Joplin, MO 64801-6500
Mailing address
705 Walnut Ridge St Apt 308
Joplin, MO 64801-6500
Phone (775) 304-3823
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2024026345 | MO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724284800000",
"number": "1356174577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 WALNUT RIDGE ST APT 308",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648016500",
"telephone_number": "775-304-3823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 WALNUT RIDGE ST APT 308",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648016500",
"telephone_number": "775-304-3823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARLEY",
"first_name": "KAYEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-08-22",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MO",
"license": "2024026345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.