Individual
MRS. JENNIFER ANNE CAUDILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
440 MAIN STREET LOT 10, SALT LICK, KY 40371-0119
(859) 404-9529
Mailing address
PO BOX 119, SALT LICK, KY 40371-0119
(859) 404-9529
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
KY-1953
KY
Other
Enumeration date
06/25/2010
Last updated
08/19/2013
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