Individual
MS. ALLICIA ILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1132B MAIN ST, MUNFORDVILLE, KY 42765-9432
(270) 524-5240
Mailing address
1132B MAIN ST, MUNFORDVILLE, KY 42765-9432
(270) 524-5240
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
KY-4001
KY
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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