Individual
JORDEN E. DUVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
703 W ASHLAND AVE, LOUISVILLE, KY 40215-2403
(502) 667-0519
Mailing address
703 W ASHLAND AVE, LOUISVILLE, KY 40215-2403
(502) 667-0519
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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