Individual
YENEISY REYES DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3606 LONGBRANCH CT, LOUISVILLE, KY 40219-4260
(616) 606-8174
Mailing address
3606 LONGBRANCH CT, LOUISVILLE, KY 40219-4260
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
108494
KY
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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