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

Kendrah Dawanna Wilson

Individual provider Massage Therapist · NPI 1902623259

Kendrah Dawanna Wilson is a Massage Therapist in Saint Marys, Georgia. Practices as a sole proprietor. Licensed in Florida and Georgia.

Licensed in
FL, GA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

1709 Osborne Rd Apt Ste
Saint Marys, GA 31558-9141
Phone: (912) 540-0323
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MT015102 (GA)
Massage Therapist Taxonomy 225700000X · Licence MA105415 (FL)

Record details

NPI number1902623259
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 26, 2024
Last updated in NPPESSeptember 26, 2024
Certification dateSeptember 26, 2024

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