Individual
JESSICA DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
304 WAINWRIGHT DR, NEW ALBANY, IN 47150-3830
(502) 533-7906
Mailing address
304 WAINWRIGHT DR, NEW ALBANY, IN 47150-3830
(502) 533-7906
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
KY-4832
KY
225700000X
Massage Therapist
Primary
MT21304750
IN
Other
Enumeration date
12/03/2013
Last updated
12/03/2013
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