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

Robert Wayne Fuller Jr., LMT

Individual provider Massage Therapist · NPI 1619576303

Robert Wayne Fuller Jr., LMT is a Massage Therapist in Kansas City, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2020
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

7211 NW 83rd St Ste 207D
Kansas City, MO 64152-6022
Phone: (816) 482-1695
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 2005017920 (MO)

Record details

NPI number1619576303
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedOctober 22, 2020
Last updated in NPPESJune 3, 2025
Certification dateJune 3, 2025
Mailing address955 Starfall Dr, Cedarcreek, MO 65627-4203

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