Katrina Lynn Brennan, LMBT MMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

LMBT9964 Issued in NC

Practice address

3105 Rock Hill Church Rd
Suite 102
Concord, NC 28027-6703

Phone

(704) 960-9961

NPI assigned

Dec 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

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": "1323820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323820800000",
    "number": "1891064267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 TRANTHAM DR",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280277115",
            "telephone_number": "704-960-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 ROCK HILL CHURCH RD",
            "address_2": "SUITE 102",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280276703",
            "telephone_number": "704-960-9961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "KATRINA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LMBT MMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-14",
        "last_updated": "2011-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "LMBT9964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kenneth J Breath, PT
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• Kiddy Pierre Brewer, FNP-C
• Scott Alexander Brewster, PHARMD
• Paul Brezicki, MD
• Bridge to Affective Wellnes, PLLC

• Massage Therapist in Concord, NC
• Providers in Concord, NC by specialty
• Massage Therapist in North Carolina

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