Individual
MISS KRISTA R HEFTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
10701 W MANSLICK RD, FAIRDALE, KY 40118-9581
(502) 367-2112
(502) 367-0702
Mailing address
148 CORAL BAY CT APT 1, SHEPHERDSVILLE, KY 40165-7974
(502) 751-2309
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
260892
KY
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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