Provider Demographics
NPI:1346952645
Name:HANSFORD, KAYLEEN (CERTIFIED BODY WORKE)
Entity type:Individual
Prefix:
First Name:KAYLEEN
Middle Name:
Last Name:HANSFORD
Suffix:
Gender:F
Credentials:CERTIFIED BODY WORKE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1008 LINCOLNTON RD
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-6214
Mailing Address - Country:US
Mailing Address - Phone:980-286-7400
Mailing Address - Fax:
Practice Address - Street 1:1008 LINCOLNTON RD
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-6214
Practice Address - Country:US
Practice Address - Phone:980-286-7400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty