Individual
AMELIA PANTALOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC., LMT
Contact information
Practice address
311 WALLACE AVE, LOUISVILLE, KY 40207-3007
(502) 290-8788
Mailing address
311 WALLACE AVE, LOUISVILLE, KY 40207-3007
(502) 718-6881
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC119
KY
225700000X
Massage Therapist
172924
KY
374J00000X
Doula
—
—
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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