# MINDFUL MEDICINE, PLLC

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

## Provider details

- **NPI number:** 1609255363
- **Authorized official:** DR. DEBORA G TALLIO MD (OWNER)
- **Authorized official phone:** (859) 687-6070

## Contact information

- **Practice address:** 2134 NICHOLASVILLE RD, SUITE 12, LEXINGTON, KY 40503-2521
- **Practice address phone:** (859) 687-6070
- **Practice address fax:** (859) 687-6071
- **Mailing address:** 2134 NICHOLASVILLE RD, SUITE 12, LEXINGTON, KY 40503-2521
- **Mailing address phone:** (859) 687-6070
- **Mailing address fax:** (859) 687-6071

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 39006 | KY | Yes |

## Other

- **Enumeration date:** 05/27/2015
- **Last updated:** 05/27/2015