Individual
MARTHA N RAYBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
216 KATE RD, SALVISA, KY 40372-9738
(859) 489-0155
Mailing address
216 KATE RD, SALVISA, KY 40372-9738
(859) 489-0155
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
KY-2551
KY
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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