Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kanalu Olamana Avery, LICENSEDMT

Individual provider Massage Therapist · NPI 1811874712

Kanalu Olamana Avery, LICENSEDMT is a Massage Therapist in Oxford, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2025

Practice location Address checks out

143 Breckenridge Dr
Oxford, MS 38655-7501
Phone: (662) 380-1320
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 4022 (MS)

Record details

NPI number1811874712
Entity typeIndividual (Type 1)
GenderMale
Credentials LICENSEDMT
Sole proprietorYes
NPI enumeratedAugust 20, 2025
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025

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