Kennedy Correa
NPI 1548020977ActiveIndividual· Massage Therapist· Fargo, ND
Massage Therapist in Fargo, North Dakota, licensed in TN, with an NPI issued in March 2024.
Overview
| NPI | 1548020977 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 21, 2024 |
| Last updated in NPPES | Mar 21, 2024 |
| Certified by provider | Mar 21, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Massage Therapist Primary | 225700000X | 434963699396 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other massage therapists in Fargo
- 1669715520
- 1689085177
- 1700611571
- 1740530633
- 1508355041
- 1962256776
- 1093661563
- 1063750966
- 1922713403
- 1568850717
- 1417844473
- 1275462020
All 39 massage therapists in Fargo · All massage therapists in North Dakota