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Kevin Andrew Fuller, LMT

Massage Therapist in Bakersfield, CA. Individual provider (NPI-1).

NPI number1346994647
StatusActive
Last updated in NPPESJul 7, 2026

Details

NPI
1346994647
Entity type
Individual (NPI-1)
Name
Kevin Andrew Fuller
Credential
LMT
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 7, 2022
Certification date
Jul 7, 2026
Last updated
Jul 7, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist75728CAYes
225700000X Massage Therapist16989NC

Practice location

1900 Glendon Ct
Bakersfield, CA 93309-3630

Phone 661-204-5415

Mailing address

1900 Glendon Ct
Bakersfield, CA 93309-3630

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