Individual
AMY DENISE COTTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5904 PINE MOUNTAIN DR, LOUISVILLE, KY 40214-1045
(502) 409-7143
Mailing address
5904 PINE MOUNTAIN DR, LOUISVILLE, KY 40214-1045
(502) 409-7143
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2193
KY
Other
Enumeration date
01/09/2008
Last updated
10/04/2010
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