Individual
MS. MICHELE LYNN WILKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
210 N BLACK BRANCH RD, CECILIA, KY 42724-9579
(270) 312-7934
Mailing address
210 N BLACK BRANCH RD, CECILIA, KY 42724-9579
(270) 312-7934
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4846
KY
Other
Enumeration date
07/04/2013
Last updated
07/04/2013
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