Organization
HEALING TABLES LTD CO
Active
Other names
Healing Therapy Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY H CLEMONS LMT (OWNER.THERAPIST)
(859) 431-5777
Entity
Organization
Contact information
Practice address
405 FAIRFIELD AVE, BELLEVUE, KY 41073
(859) 781-2328
Mailing address
405 FAIRFIELD AVE, BELLEVUE, KY 41073-1011
(859) 781-2328
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
0420527
KY
Other
Enumeration date
06/15/2007
Last updated
08/22/2020
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