Kalen Tenderness Tierney
Individual provider Active NPI Massage Therapist · Dummerston, VT
NPI 1447002191 · NPPES record last updated Apr 4, 2024
Key facts
- NPI
- 1447002191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 164.0001598 (VT)
- Practice address
- 1965 E West Rd
Dummerston, VT 05301-4449 - Phone
- (610) 914-2958
- NPI assigned
- Apr 4, 2024
- Sex
- Unspecified or another gender identity
- 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 |
|---|---|---|---|
| 164.0001598 | VT | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 164.0001598 | VT | Yes |
Addresses
Primary practice location
1965 E West Rd
Dummerston, VT 05301-4449
Mailing address
1965 E West Rd
Dummerston, VT 05301-4449
Phone (610) 914-2958
Other providers in Dummerston, VT
- Herbert F Rest
- Seiyu Institute for Health & Training, L3C
- Arianna Shimits
- Kali Strickland
- Julia Testa
- Heather Barnett Veague
- Weaving Waters LLC
- Kelcy Wiley
- Pamela B Wrenn
All providers in Dummerston, VT · Massage Therapist in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2024. 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.