Individual
TATYANA KRIVOSHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10111 HEADLEY HILL RD, LOUISVILLE, KY 40223-1240
(502) 326-9504
Mailing address
10111 HEADLEY HILL RD, LOUISVILLE, KY 40223-1240
(502) 326-9504
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1118416
KY
225700000X
Massage Therapist
Primary
1469
KY
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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