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Individual

REECA L PRATER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.P.N., L.M.T.

Contact information

Practice address
125 CODELL DR, SUITE 116, LEXINGTON, KY 40509-1183
(859) 433-1693
Mailing address
125 CODELL DR, SUITE 116, LEXINGTON, KY 40509-1183
(859) 433-1693

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
2030736
KY
225700000X
Massage Therapist
Primary
KY-0707
KY

Other

Enumeration date
07/27/2009
Last updated
07/27/2009
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