Lori Bender Kennedy, LMT, MMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT107176 Issued in TX

Practice address

15307 Stable Run Dr
Cypress, TX 77429-7092

Phone

(281) 373-4369

Fax

(281) 373-4263

NPI assigned

Apr 14, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Loretta Kennedy Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302739200000",
    "number": "1447540182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15307 STABLE RUN DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774297092",
            "telephone_number": "281-373-4369",
            "fax_number": "281-373-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15307 STABLE RUN DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774297092",
            "telephone_number": "281-373-4369",
            "fax_number": "281-373-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "LORI",
        "middle_name": "BENDER",
        "credential": "LMT, MMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-14",
        "last_updated": "2011-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT107176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORETTA",
            "last_name": "KENNEDY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Massage Therapist in Cypress, TX
• Providers in Cypress, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; 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.