Individual
KATHRYN HILLARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4227 POPLAR LEVEL RD, LOUISVILLE, KY 40213-1527
(502) 451-5959
(502) 451-5041
Mailing address
3215 FURMAN BLVD, LOUISVILLE, KY 40220-1949
(502) 510-3791
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
108421
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108421
MASSAGE LICENSE NUMBER
KY
01
—
4923
MASSAGE LEGACY NUMBER
KY
Enumeration date
01/25/2021
Last updated
01/25/2021
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