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

Kathleen Mary Fanning

Individual provider Massage Therapist · NPI 1083425284

Kathleen Mary Fanning is a Massage Therapist in Riverview, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2025

Practice location Address checks out

7803 Riverwood Oaks Dr
Riverview, FL 33578-8633
Phone: (630) 244-4127
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MA101214 (FL)

Record details

NPI number1083425284
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 16, 2025
Last updated in NPPESJanuary 16, 2025
Certification dateJanuary 16, 2025

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