# MIND, BODY & SPIRIT FITNESS, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225263924
- **Authorized official:** MS. KENNESHA DENISE GREEN OTR/L (OCCUPATIONAL THERAPIST/CEO)
- **Authorized official phone:** (502) 821-5627

## Contact information

- **Practice address:** 8225 WHIPPS MILL RD, LOUISVILLE, KY 40222-5403
- **Practice address phone:** (502) 821-5627
- **Mailing address:** PO BOX 16088, LOUISVILLE, KY 40256-0088
- **Mailing address phone:** (502) 821-5627

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225XP0019X | Physical Rehabilitation Occupational Therapist | KY-R2776 | KY | Yes |

## Other

- **Enumeration date:** 05/25/2009
- **Last updated:** 11/30/2009