Individual
MARGIE HOLTZCLAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
217 W MAIN ST, LEBANON, KY 40033-1240
(270) 401-4311
Mailing address
217 W MAIN ST, LEBANON, KY 40033-1240
(270) 401-4311
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
KY-4869
KY
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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