Individual
JETTA KAUNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
647 KNOX BLVD, RADCLIFF, KY 40160-1514
(270) 351-5055
Mailing address
1420A 4TH AVE, FORT KNOX, KY 40121-2294
(913) 702-2282
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
239911
KY
Other
Enumeration date
06/15/2019
Last updated
06/15/2019
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