Individual
MR. JARED M VEAZEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
914 W BROADWAY ST, MAYFIELD, KY 42066-2021
(270) 247-8923
Mailing address
1645 BETHANY RD, COTTAGE GROVE, TN 38224-5303
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
KY-2172
KY
Other
Enumeration date
07/31/2009
Last updated
07/31/2009
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