Individual
LISA STABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8015 BARDSTOWN RD, FERN CREEK, KY 40291-3439
(502) 239-3993
(502) 239-3939
Mailing address
8015 BARDSTOWN RD, FERN CREEK, KY 40291-3439
(502) 239-3993
(502) 239-3939
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2365
KY
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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