Individual
AUTUMN MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 W MAIN ST STE 207, LEXINGTON, KY 40507-1631
(859) 443-3292
(502) 808-6074
Mailing address
401 W MAIN ST STE 207, LEXINGTON, KY 40507-1631
(859) 443-3292
(502) 808-6074
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
244845
KY
Other
Enumeration date
04/16/2019
Last updated
04/16/2019
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