Active NPI
Kathleen Mechelle Davis, LMT
- Massage Therapist
- Prescott Valley, AZ
National Provider Identifier
1710603147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT-14865
- Practice address
- 2852 N Navajo Dr Ste B
Prescott Valley, AZ 86314-4966 - Phone
- (623) 518-8274
- Fax
- (928) 463-2588
- NPI assigned
- Oct 17, 2022
- Last updated
- Aug 17, 2026
- Sex
- Female
- 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 | MT-14865 | AZ | Primary |
Addresses
Primary practice location
2852 N Navajo Dr Ste B
Prescott Valley, AZ 86314-4966
Mailing address
PO Box 1196
Dewey, AZ 86327-1196
Phone (623) 518-8274
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 |
|---|---|---|---|
| MT-14865 | AZ | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presscott Pain Center LLC | Massage Therapist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786924800000",
"number": "1710603147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1196",
"city": "DEWEY",
"state": "AZ",
"postal_code": "863271196",
"telephone_number": "623-518-8274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2852 N NAVAJO DR STE B",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863144966",
"telephone_number": "623-518-8274",
"fax_number": "928-463-2588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "KATHLEEN",
"middle_name": "MECHELLE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-17",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AZ",
"license": "MT-14865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prescott Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.