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

Kevin Gregory Gardner, MT

Individual provider Massage Therapist · NPI 1265066229

Kevin Gregory Gardner, MT is a Massage Therapist in Alexandria, Virginia. Practices as a sole proprietor and works from 2 locations. Licensed in Virginia.

Licensed in
VA
In the registry since
2020
What do these letters mean?
MT — Medical Technologist
Performs laboratory testing on clinical specimens.

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Practice location Address checks out

4701 Kenmore Ave Ste 121
Alexandria, VA 22304-2230
Phone: (703) 861-0890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4701 Kenmore Ave Apt 121, Alexandria, VA 22304-1203 — (703) 861-0890

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 0019012178 (VA)

Record details

NPI number1265066229
Entity typeIndividual (Type 1)
GenderMale
Credentials MT
Sole proprietorYes
NPI enumeratedFebruary 28, 2020
Last updated in NPPESFebruary 28, 2020
Certification dateFebruary 28, 2020
Mailing address4701 Kenmore Ave, Suite 121, Alexandria, VA 22304-1203

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