Individual
MALCOLM BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
380 S MILL ST, LEXINGTON, KY 40508-2560
(859) 231-1782
Mailing address
380 S MILL ST, LEXINGTON, KY 40508-2560
(859) 231-1782
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
262612
KY
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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