Individual
LISA WOLFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1805 S MAIN ST STE 4, CORBIN, KY 40701-2405
(606) 258-1995
Mailing address
1805 S MAIN ST STE 4, CORBIN, KY 40701-2405
(606) 258-1995
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0427
KY
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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