Individual
ALICE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 S 13TH ST, LOUISVILLE, KY 40203-1799
(502) 583-1011
(855) 859-0123
Mailing address
300 S 13TH ST, LOUISVILLE, KY 40203-1799
(502) 583-1011
(855) 859-0123
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
168488
KY
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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