Individual
PATRICIA POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6340 W HIGHWAY 146, CRESTWOOD, KY 40014-8839
(502) 276-5711
Mailing address
5107 JONAR CT, FERN CREEK, KY 40291-1517
(502) 276-5711
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4616
KY
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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