Provider Demographics
NPI:1730061771
Name:KAIZEN DRY NEEDLING & WELLNESS LLC
Entity type:Organization
Organization Name:KAIZEN DRY NEEDLING & WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KENDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, WCS
Authorized Official - Phone:757-572-0183
Mailing Address - Street 1:6465 COLLEGE PARK SQ STE 312
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-3609
Mailing Address - Country:US
Mailing Address - Phone:757-685-7649
Mailing Address - Fax:
Practice Address - Street 1:6465 COLLEGE PARK SQ STE 312
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23464-3609
Practice Address - Country:US
Practice Address - Phone:757-685-7649
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty