# RAJA WELLNESS, LLC

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

## Provider details

- **NPI number:** 1336664457
- **Authorized official:** JENNYMARIE GREENOUGH LAC (OWNER)
- **Authorized official phone:** (270) 506-3853

## Contact information

- **Practice address:** 3044 RING RD, ELIZABETHTOWN, KY 42701-7932
- **Practice address phone:** (270) 681-5074
- **Practice address fax:** (855) 290-1817
- **Mailing address:** 3044 RING RD, ELIZABETHTOWN, KY 42701-7932
- **Mailing address phone:** (270) 681-5074
- **Mailing address fax:** (855) 290-1817

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 171100000X | Acupuncturist | AC086 | KY | Yes |
| 225700000X | Massage Therapist | — | NULL | — |
| 225700000X | Massage Therapist | — | — | — |

## Other

- **Enumeration date:** 08/09/2017
- **Last updated:** 12/04/2023