Individual
MRS. JESSICA ANN GOUSHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1515 W. LEXINGTON AVE., WINCHESTER, KY 40391-1116
(859) 744-5353
Mailing address
131 FINLEY RD, WINCHESTER, KY 40391-1734
(859) 749-5111
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
KY-2732
KY
Other
Enumeration date
04/26/2010
Last updated
09/22/2011
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